Publications by authors named "Mehra S"

The need for novel vaccination strategies to control tuberculosis (TB) is underscored by the limited and variable efficacy of the currently licensed vaccine, Bacille Calmette-Guerin (BCG). SigH is critical for Mycobacterium tuberculosis (Mtb) to mitigate oxidative stress, and in its absence Mtb is unable to scavenge host oxidative/nitrosative bursts. The MtbΔsigH (ΔsigH) isogenic mutant induces signatures of the innate immunity in macrophages and protects rhesus macaques from a lethal Mtb challenge.

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Four infants (one singleton and a set of triplets) born to mothers with serofast reactive plasma reagin at 1:4 to 1:8 were found to have congenital syphilis. Each mother had a history of receiving appropriate treatment for their syphilis stage at the time of diagnosis with benzathine penicillin G 2.4 million units intramuscularly weekly 3 times.

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Genetic studies of Plasmodium parasites increasingly feature relatedness estimates. However, various aspects of malaria parasite relatedness estimation are not fully understood. For example, relatedness estimates based on whole-genome-sequence (WGS) data often exceed those based on sparser data types.

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Background: In highly measles immunized countries, immunity gaps in adolescents and young adults are a key issue posing an obstacle to measles elimination. This study aims to identify the gaps by estimating the age-stratified probability of seropositivity, and to ascertain a suitable age for the administration of a third dose of a measles-containing vaccine (MCV3) to effectively fill these gaps.

Methods: We retrospectively obtained measles serological results from hospital setting among among individuals aged 13-39 years and developed a serocatalytic dynamic probability model, stratifying seropositivity due to vaccination or natural infection.

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Introduction: Gouty arthritis is a common inflammatory condition caused by the deposition of uric acid crystals in the joints, leading to intense pain, swelling, and functional impairment. Thermal therapies, including hot and cold fomentation, are often used as adjunctive treatments for managing inflammation and pain in various musculoskeletal conditions. However, the efficacy of these therapies in acute gout remains underexplored.

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Bank voles are susceptible to prion strains from many different species, yet the molecular mechanisms underlying the ability of bank vole prion protein (BVPrP) to function as a universal prion acceptor remain unclear. Potential differences in molecular environments and protein interaction networks on the cell surface of brain cells may contribute to BVPrP's unusual behavior. To test this hypothesis, we generated knock-in mice that express physiological levels of BVPrP (M109 isoform) and employed mass spectrometry to compare the interactomes of mouse (Mo) PrP and BVPrP following mild in vivo crosslinking of brain tissue.

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Article Synopsis
  • Evidence-based research is essential in healthcare, yet many medical undergraduates in India lack awareness and involvement in research due to an unstructured curriculum.
  • A participatory action research study developed a structured research module that was integrated into the MBBS program, enhancing research skills and experiences among students.
  • The initiative led to a significant increase in UG research projects, scholarships, and a supportive research environment at the medical college, demonstrating the program's effectiveness and value.
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Background: The World Health Organization defined adolescent age group as a life span between 10 and 19 years. Adolescence is a phase of transition from childhood to adulthood, it is a unique stage for human development and a very sensitive period for laying the foundation of good health. Investment in this life-stage yields triple dividend.

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The epidemiological behavior of Plasmodium vivax malaria occurs across spatial scales including within-host, population, and metapopulation levels. On the within-host scale, P. vivax sporozoites inoculated in a host may form latent hypnozoites, the activation of which drives secondary infections and accounts for a large proportion of P.

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Convalescent plasma therapy (CPT) is one of the treatment modalities used for COVID-19. Initial smaller studies showed the usefulness of CPT in COVID-19, but larger studies showed that it is not effective. This is a retrospective observational study conducted between 1st June 2020 and 31st July 2021 at a tertiary hospital in Noida, India.

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This study examined relations between caregiver feeding behaviours, child dietary diversity and anthropometry at 24 months of age in rural Bangladesh. Twenty-four hours dietary recall, weight and length data were collected on 4733 children. Factor analysis was applied to an 11-item caregiver feeding behaviours scale administered at 24 months, revealing two constructs: responsive/involved (five items) and forceful (six items); each dichotomised to reflect low and high use.

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parasites can lie dormant in the liver as hypnozoites, activating weeks to months after sporozoite inoculation to cause relapsing malarial illness. It is not known what biological processes govern hypnozoite activation. We use longitudinal data from the most detailed cohort study ever conducted in an area where both and were endemic to fit a simple within-host mathematical model of hypnozoite activation.

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Article Synopsis
  • Type-II selective fetal growth restriction (sFGR) in monochorionic twin pregnancies increases risks of severe complications and mortality, prompting a study to identify the most cost-effective management strategy.
  • A decision-analytic model evaluated four interventions: expectant management (EM), bipolar cord occlusion (BCO), radiofrequency ablation (RFA), and fetoscopic laser photocoagulation (FLP) for a hypothetical group of 10,000 patients, considering costs and health outcomes over the children's lifetimes.
  • The results showed RFA was the most cost-effective method, significantly reducing risks of extreme preterm births and severe neurodevelopmental impairments while demonstrating a favorable incremental cost-effectiveness ratio of $14,243 per quality-adjusted
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  • This study explores a new treatment combining acetazolamide and dronabinol (IHL-42X) for obstructive sleep apnea (OSA) in patients who don't respond to current therapies.
  • Participants with moderate to severe OSA underwent a crossover trial of different IHL-42X doses and a placebo to assess changes in apnea severity and related metrics.
  • The results showed significant reductions in apnea severity with IHL-42X compared to placebo, particularly at medium dose levels, while no serious adverse effects were reported, indicating it's a safe alternative.
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Background: Gallstones are a common diagnosis in the United States; though many patients remain asymptomatic, others develop symptoms. Standard of care for symptomatic cholelithiasis is cholecystectomy, but many do not undergo surgery. The purpose of this study is to identify factors that influence receipt of cholecystectomy for symptomatic cholelithiasis at a safety net hospital.

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Rationale: Stressors play a critical role in the progression of irritable bowel syndrome (IBS). Heterogenous stress causes alterations in our bowel movements which can further cause anxiety and depression-like symptoms, decreasing the ability of individuals worldwide to function in social, academic, and employment settings.

Objectives: This study was aimed to investigate the effect of orally administered Nigella sativa (0.

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Importance: Recurrent human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma (OPSCC) is a relatively rare but serious disease with little empirical data. Previous works have studied patterns of recurrence in HPV-positive OPSCC, but only one has studied truly recurrent disease as opposed to persistent disease, and no work systematically analyzed posttreatment surveillance imaging strategies and how recurrences were detected.

Objective: To refine the understanding of HPV-positive OPSCC recurrence and inform optimal imaging surveillance strategies.

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Objective: Screening questionnaires are one option for identification of at-risk substance use and substance use disorder (SUD) during pregnancy. We report the experience of a single institution following universal implementation of a brief screening tool for self-reported substance use at the first prenatal encounter.

Study Design: This is a prospective implementation study evaluating screening for substance use in pregnancy in a large safety net healthcare system.

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The majority of Human Immunodeficiency Virus (HIV) negative individuals exposed to () control the bacillary infection as latent TB infection (LTBI). Co-infection with HIV, however, drastically increases the risk to progression to tuberculosis (TB) disease. TB is therefore the leading cause of death in people living with HIV (PLWH) globally.

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Article Synopsis
  • In prion diseases, a species barrier typically hinders prion transmission, but bank voles can efficiently transmit prions between species due to their unique prion protein, BVPrP.
  • Researchers identified specific amino acids in BVPrP that allow it to replicate prions from both mice and hamsters, highlighting the importance of residues N155, N170, V112, I139, and M205.
  • The study also discovered that certain residues (E227 and S230) in BVPrP may limit prion accumulation, suggesting they evolved to counteract BVPrP's tendency to misfold.
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Background and aim The deltoid is a common site for intramuscular injections, but guidelines for administration lack standardization. Global researchers propose various techniques, and recent study reports indicate a 1.5-15% incidence of nerve palsies due to injections.

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Next-generation sequencing of samples from patients with acute myeloid leukemia (AML) has revealed several driver gene mutations in adult AML. However, unlike other cancers, AML is defined by relatively few mutations per patient, with a median of 4-5 depending on subtype. In this review, we will discuss the most common driver genes found in patients with AML and focus on the most clinically relevant ones that impact treatment strategies.

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Article Synopsis
  • Chronic immune activation in HIV/TB co-infection increases the risk of TB reactivation, highlighting the need for therapies that target immune responses.
  • The IDO inhibitor D-1 methyl tryptophan (D1MT) shows promise in improving immune function in the lungs and enhancing TB control without affecting HIV treatment.
  • Further trials are recommended to investigate the effectiveness of IDO inhibition as a host-directed therapy in individuals co-infected with M. tuberculosis and HIV while on antiretroviral therapy.
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