Publications by authors named "Murti K"

Background: Non-adherence to antihypertensive medication is a key factor contributing to uncontrolled blood pressure and the subsequent complications of hypertension. Despite its importance, there is a lack of data regarding the prevalence of and factors associated with non-adherence to medication among individuals with hypertension in India. This review aimed to assess medication adherence rates among hypertensive patients in India and identify the factors influencing non-adherence.

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Post-kala-azar dermal leishmaniasis (PKDL) is a neglected skin disease that has tremendous epidemiological significance as a reservoir of Leishmania parasites. Relapse, drug resistance, non-compliance to prolonged treatment, poor health-seeking behaviour, along with limited therapeutic options pose a significant impact on the management of PKDL. In this study, we aimed to review the efficacy, safety and tolerability data of combination therapies for PKDL in the published literature.

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Glioblastoma (GBM) is the most prevalent and deadly primary brain tumor. The current treatment for GBM includes adjuvant chemotherapy with temozolomide (TMZ), radiation therapy, and surgical tumor excision. There is still an issue because 50% of patients with GBM who get TMZ have low survival rates due to TMZ resistance.

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Background: This study aimed to determine the prevalence of TB among patients living with HIV in Patna district, India. It also assessed the factors contributing to co-infection and evaluated patients' quality of life.

Methods: This cross-sectional study was conducted at the Antiretroviral Therapy (ART) Centre in Patna, India, for a period of eight months.

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Background: This study aimed to assess the factors influencing health-related quality of life (HRQoL) in patients experiencing adverse drug reactions (ADRs) at a tertiary care public sector hospital. A cross-sectional study was conducted over a period of 18 months, and included both male and female patients aged 18 years and above. Patients who visited the outpatient and inpatient departments with complaints associated with ADRs were included in this study.

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  • Groundwater contamination from arsenic, a toxic metalloid, poses health risks, particularly affecting human development and causing various toxicities.
  • The study highlights how arsenic leads to oxidative stress, mitochondrial dysfunction, and activated apoptosis, which are crucial in understanding its neurotoxic effects.
  • Findings reveal a complex interplay of molecular mechanisms, including AMPK activation, that contribute to neuronal cell death, suggesting potential avenues for future treatments and interventions.
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Arsenic (As), a significant environmental pollutant that has garnered global attention, is widely recognized for its adverse effects on reproductive health. This study assesses the aphrodisiac activity of Dehydrozingerone (DHZ) against As induced sexual dysfunction in male Wistar rats. Male Wistar rats were divided into control, As, and As+DHZ groups.

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  • The study investigates how consistent Indonesian pathologists are in diagnosing thyroid tumors, focusing on identifying nuclear features and invasion characteristics of the tumors.* -
  • Fifteen pathologists independently ranked 14 digital slides, revealing that initial agreement on key features was low, but training improved these scores significantly.* -
  • The findings highlight the need for continued education and collaboration among pathologists to enhance diagnostic accuracy in thyroid neoplasms.*
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Arsenic, a ubiquitous environmental toxicant, has been acknowledged as a significant issue for public health due to its widespread pollution of drinking water and food supplies. The present review aimed to study the toxicity associated with the cardiac system. Prolonged exposure to arsenic has been associated with several harmful health outcomes, especially cardiotoxicity.

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Unlabelled: This study highlights the potential neurotoxic and impaired behavioral effects associated with high fluoride concentrations in drinking water.

Purpose: Fluoride is known to cause neurotoxicity, evinced by lower I.Q.

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Fluoride exposure is a global public health concern. Understanding the knowledge, attitudes, and practices (KAP) of affected populations is essential for effective community management. This study aimed to develop and validate a KAP questionnaire to assess fluoride and its risk in general population.

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Aim: This review presents specific insights on the molecular underpinnings of the connection between fluorosis, type 2 diabetes, and microvascular complications, along with the novel biomarkers that are available for early detection.

Summary: Fluoride is an essential trace element for the mineralization of teeth and bones in humans. Exposure to higher concentrations of fluoride has harmful effects that significantly outweigh its advantageous ones.

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Objective: Miltefosine stands as the sole oral medication approved for the treatment of leishmaniasis. The appearance of severe ophthalmic toxicities induced by miltefosine in the context of leishmaniasis treatment is a matter of significant concern. The main objective of this study is to present a comprehensive summary of the ophthalmic adverse effects associated with miltefosine when used in the treatment of leishmaniasis.

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Background: Hypertension is a prevalent health challenge in India, with a bidirectional link to depression. Recognizing the prevalence of depression among hypertensive patients and associated factors are important for better health outcomes.

Methods: A comprehensive search was conducted in PubMed, Embase, Scopus, and Google Scholar databases to identify relevant studies.

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  • Cancer patients are highly susceptible to infections due to weakened immune systems from cancer and its treatments, and antibiotic-resistant bacteria make these infections harder to treat, leading to longer hospital stays and higher mortality rates.
  • A study conducted in India reviewed 440 cancer patients, finding that 48% had multidrug-resistant bacteria, with factors like surgery, chemotherapy, and severe neutropenia increasing infection risk.
  • The results indicated high mortality rates, particularly for patients with antibiotic-resistant infections, underscoring the need for tailored interventions, better infection control, and careful use of antibiotics to improve patient outcomes.
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Parkinson's Disease (PD) is a progressive neurodegenerative disorder expected to increase by over 50% by 2030 due to increasing life expectancy. The disease's hallmarks include slow movement, tremors, and postural instability. Impaired protein processing is a major factor in the pathophysiology of PD, leading to the buildup of aberrant protein aggregates, particularly misfolded α-synuclein, also known as Lewy bodies.

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  • Depression is a leading cause of disability, often complicating the treatment of metabolic diseases like obesity, which itself is linked to poor dietary choices and a sedentary lifestyle.
  • The review explores potential connections between obesity and depression, particularly the role of adipokines, gut hormones, and microbiota in this relationship.
  • Key findings highlight how changes in gut bacteria and hormones like ghrelin and GLP-1 may influence both mood and metabolic functions, with implications for understanding and treating depression and obesity.
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Background: Uncontrolled cell growth and proliferation, which originate from lung tissue often lead to lung carcinoma and are more likely due to smoking as well as inhaled environmental toxins. It is widely recognized that tumour cells evade the ability of natural programmed death (apoptosis) and facilitates tumour progression and metastasis. Therefore investigating and targeting the apoptosis pathway is being utilized as one of the best approaches for decades.

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  • People with HIV (PLHIV) in India, especially older individuals, face a heightened risk of cardiovascular disease (CVD) due to factors like inflammation and aging, with limited research on this issue in the region.
  • A study involving 73 older PLHIV and 30 non-HIV participants revealed that older PLHIV had significantly higher CVD risk scores and worse quality of life in areas related to psychological well-being and social relations compared to younger PLHIV and older non-HIV individuals.
  • The findings highlight the need for targeted CVD risk assessments and management strategies for older PLHIV, given their unique health challenges and moderate deterioration in quality of life.
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More than 70 million individuals have been exposed to environmental arsenic toxicity, worldwide. United Nation Children's Fund (UNICEF) policy brief -2018 report to mitigate arsenic in drinking water, emphasizes assessing, and changing the knowledge, attitudes, and practices (KAP) as one of the long-term effective solutions to be implemented as a part of surveillance strategies. This study aims to develop a valid and reliable tool to assess knowledge, attitude, and practices of arsenic and its risk in general health.

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Fluorosis, a chronic condition brought on by excessive fluoride ingestion which, has drawn much scientific attention and public health concern. It is a complex and multifaceted issue that affects millions of people worldwide. Despite decades of scientific research elucidating the causes, mechanisms, and prevention strategies for fluorosis, there remains a significant gap between scientific understanding and public health implementation.

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Background: Arsenic is present in above permissible safe limits in groundwater, soil, and food, in various areas of the world. This is increasing exposure to humankind and affecting health in various ways. Alternation in cognition is one among them.

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A 28 -year-old man presented to our hospital with a rapidly growing nodule in the left cervical and bilateral axilla with a history of loss of weight. He has been experiencing a nodule in her right cervical since two years ago and had done FNAC and diagnosed extrapulmonary tuberculosis (EPTB), on Examination at left cervical colli; mass size 9cm x 7 cm, mobile, Lymphadenopathy at pre auricular size 3cm x 3cm, lymphadenopathy supraclavicular size 1cm x 0,5 cm. bilateral lymphadenopathy Axila size 4cmx 4cmx 2xcm mobile.

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Introduction: Operating room workers are at risk of experiencing adverse effects due to occupational exposure to waste anesthetic gases (WAGs). One of the consequences of long-term WAGs exposure is the probability of developing deoxyribonucleic acid (DNA) damage. This systematic review investigated the link between WAGs and DNA damage in operating room workers.

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Post kala-azar dermal leishmaniasis (PKDL) is a skin disease that usually occurs among individuals with a past history of visceral leishmaniasis (VL). PKDL cases act as a reservoir of parasites and may play a significant role in disease transmission. Hence, prompt detection and complete treatment of PKDL cases are crucial for the control and elimination of VL.

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