Publications by authors named "Sai Krishna Tikka"

Article Synopsis
  • - The study investigates the relationship between schizophrenia, bipolar disorder, and type 1 diabetes mellitus (T1DM), highlighting their potential neuroinflammatory and neuro-immunological connections.
  • - A meta-analysis of 15 studies involving nearly 10 million participants showed a low prevalence of schizophrenia (0.37%) and bipolar disorder (0.39%) in T1DM patients, with some evidence of higher risk ratios for these mental health disorders in this group.
  • - Despite the findings indicating a possible link, the lack of statistically significant risk ratios and the need for further research suggest that more comprehensive studies are necessary to draw definitive conclusions.
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Purpose: Repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising alternative therapeutic modality for bipolar depression. Theta Burst Stimulation (TBS) a novel variant of rTMS is currently evolving as an effective and safe therapeutic tool in the management of bipolar depression, although it is still in the initial phase. In the present systematic review and meta-analysis, data from various studies investigating the effectiveness and tolerability of TBS in individuals with bipolar depression were synthesized.

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Article Synopsis
  • The study investigates the effectiveness of intermittent Theta burst stimulation (iTBS) as a potential treatment for persistent somatoform pain disorder (PSPD) in a small group of patients.
  • Twenty patients were divided into two groups: one receiving active iTBS sessions and the other receiving sham stimulation, with various pain and mental health assessments conducted throughout the trial.
  • Results showed some improvements in pain and psychological measures for both groups, but the overall therapeutic efficacy of iTBS for PSPD remains inconclusive due to the limited sample size and number of treatment sessions.
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  • The study investigated how COVID-19 disruptions affected neuroscience research projects and young researchers in India through an online survey targeting medical trainees, post-docs, PhD students, and early career faculty.
  • A total of 504 valid responses revealed that over 83% of participants experienced negative impacts on their research, with one-third noting delays and many adapting their methodologies due to the pandemic.
  • The findings highlighted significant challenges, particularly for those involved in prospective studies, emphasizing the need for focused support for neuroscience research in the post-pandemic landscape.
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Aim: A two-stage process, wherein self-report screening precedes the structured interview, is suggested for identifying individuals at clinical high-risk for psychosis (CHR-P) in community samples. Aim of this study was to screen a community youth sample from India for CHR-P using the two-stage method. Specific objectives were to assess concordant validity of the self-report measure and predictive validity of the two-stage method.

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To determine the rates of new-onset anxiety and depression in patients with restrictive or obstructive lung disease after COVID-19 infection and to assess the improvement in pulmonary functions and anxiety/depression scores after prescribing incentive spirometer-based breathing exercises. A 2-phase study with a cross-sectional and open-label randomized interventional design evaluated anxiety (Generalized Anxiety Disorder-7 [GAD-7] and Hamilton Anxiety Rating Scale [HARS]), depression (Patient Health Questionnaire-9 [PHQ-9]), and pulmonary function tests (PFTs) of 100 COVID-19 patients within 8 weeks of acute illness. Patients with pulmonary dysfunction were randomized (incentive spirometry vs controls), and anxiety/depression scores and lung function were reevaluated after 4 weeks.

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Introduction: Cannabis use disorders are global emerging problem nowadays, with high prevalence and morbidity. Cognitive impairments, and also corresponding genetic vulnerability, has been fairly replicated in individuals with cannabis dependence. However, there are few studies that assess cognitive functioning as an endophenotype or a trait marker for cannabis dependence.

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Introduction: Tobacco use is a major causative factor for head and neck cancers (HNC). Continued use of tobacco even after cancer diagnosis is common and is associated with all-cause and cancer-specific mortality, cancer recurrence and poor treatment response. Evidence suggests that behavioral interventions, help achieve greater smoking cessation rates in HNC patients.

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Background: A significant body of evidence on the role of TMS in neurology and psychiatry has emerged from Indian studies.

Aims: We aimed to assess the existing and emerging trends of research on TMS as a diagnostic or therapeutic tool in India using bibliometric analysis.

Results: A total of 146 publications, retrieved from various databases, were analyzed using Microsoft Excel and VOSviewer.

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We performed a series of random-effects meta-analyses on cross-sectional studies assessing vessel density (VD) using Optical Coherence Tomography Angiography (OCTA) in schizophrenia. Five studies with a total sample size of 410 (schizophrenia-192;healthy-218) were analysed. Supplementary Trial Sequential Analyses (TSA) was also performed.

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Unlabelled: Repetitive transcranial magnetic stimulation (rTMS) is potentially effective as an augmentation strategy in the treatment of many neuropsychiatric conditions. Several Indian studies have been conducted in this regard. We aimed to quantitatively synthesize evidence from Indian studies assessing efficacy and safety of rTMS across broad range of neuropsychiatric conditions.

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Background: There is substantial treatment gap between the suggested guidelines and pragmatic clinical practice for psychotropic usage in bipolar disorder (BD) due to the lack of naturalistic studies and not taking into account the transcultural differences and diverse background. We intend to study this treatment gap and elucidate the preference of psychotropics and prescription patterns, critical clinical issues faced and related pragmatics in BD by conducting the mental health professionals survey.

Methodology: After focused discussions, Canadian Network for Mood and Anxiety Treatments guidelines being the primary anchor, a 46-item online survey questionnaire was prepared.

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Article Synopsis
  • The study aimed to explore how SARS-CoV-2 infection affects sleep disorders, specifically insomnia, restless legs syndrome (RLS), and dream enactment behavior (DEB), highlighting a gap in existing literature.
  • Out of 1,596 participants, 37.2% reported disturbed sleep, with 22.6% experiencing insomnia, 27.3% RLS, and 17.4% DEB, with higher rates observed in males and those infected with SARS-CoV-2.
  • The findings suggest a significant association between SARS-CoV-2 infection and increased occurrences of these sleep disorders, particularly among those facing additional health challenges like oxygen therapy, loss of taste/smell, depression, and anxiety
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Objectives: Repetitive transcranial magnetic stimulation efficacy in unipolar depression is known, but its efficacy in acute-phase bipolar depression is at best modest. Citing differential right dorsolateral prefrontal cortex hyperconnectivity implicated in BD, we aimed to study the effect of novel continuous theta burst stimulation (cTBS) targeting right dorsolateral prefrontal cortex in a randomized rater blinded placebo control design.

Material And Methods: Nineteen patients aged 18 to 59 years (baseline Hamilton Depression Rating Scale [HAM-D] 17 severity score >18) were randomly allocated to active cTBS (n = 11) and sham cTBS (n = 9) groups using block randomization method.

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