Publications by authors named "Sanghamitra Pati"

Background: Maintaining optimal hearing health and preventing ear infections is crucial across all life stages, spanning from before birth and infancy to middle age and beyond. The primary aim of the research was to evaluate and compare the effectiveness of the telemedicine-enabled otoscope (TEO) in diagnosing ear diseases with that of the conventional otoscope.

Materials And Methods: The databases PubMed, Cochrane, and Embase were thoroughly searched to find original studies on TEO at the community as well as hospital levels along with meta-analysis for comparison with standard diagnostic methods using traditional otoscopes.

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Introduction: Tuberculosis (TB) continues to be one of the deadliest infectious diseases over the centuries, killing more people worldwide than any other single infectious disease. There is an urgent need for additional strategies which can expedite efforts to combat TB including a preventive vaccine. In this endeavour, we have developed a protocol for a multisite, double-blind, placebo-controlled clinical trial in India that aims to evaluate the efficacy and safety of two TB vaccines; namely, VPM1002 and Immuvac () () (MIP) among healthy household contacts (HHCs) of sputum smear-positive pulmonary TB (PTB) patients.

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Objective: Oral cancer is a widespread global health problem characterised by high mortality rates, wherein early detection is critical for better survival outcomes and quality of life. While visual examination is the primary method for detecting oral cancer, it may not be practical in remote areas. AI algorithms have shown some promise in detecting cancer from medical images, but their effectiveness in oral cancer detection remains Naïve.

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  • * It involves creating and testing tools for the intervention through a hybrid design and an exploratory cluster randomized trial while utilizing the EPIS framework to assess feasibility.
  • * The research aims to address the gap in evidence for effective geriatric screening in low-middle income countries and develop validated tools and models for national health programs.
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  • India is experiencing an increase in non-communicable diseases (NCDs) among older adults, with a focus on understanding the relationship between disability and multimorbidity (having multiple chronic conditions).
  • Using data from a 2015 WHO survey, the study analyzed 7,118 participants aged 50 and above to evaluate disability levels and the prevalence of multimorbidity.
  • Findings indicated that 89% of participants had some form of disability, with 39.7% also experiencing multimorbidity, highlighting a significant association between the two issues in this demographic group.
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  • - The "One Health" approach combines human, animal, and environmental health to tackle diseases, and this study specifically examines its application in southeast Asia for diseases like brucellosis, anthrax, and scrub typhus.
  • - Researchers reviewed 711 articles and included ten studies, focusing on key strategies such as collaboration between sectors, vaccination programs, and surveillance systems to monitor health in both humans and animals.
  • - The findings indicate that while some advancements have been made, a more integrated "One Health" strategy is essential for effectively preventing and managing zoonotic diseases, emphasizing the importance of stronger partnerships across different sectors.
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  • * This review analyzed data from 68 studies to estimate TBI prevalence among various risk factors in India, identifying significant rates especially in smokers (59%), diabetics (53%), and malnourished individuals (48%).
  • * Findings indicate a substantial TBI burden among specific populations, revealing a need for targeted preventive strategies and encouraging the WHO to reconsider systematic screening and treatment guidelines for high-risk groups.
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  • Snakebite envenoming (SBE) is a serious health issue in India, especially in rural areas, where many people don't have enough knowledge or the right behavior to deal with snakebites.
  • A study was done in Maharashtra and Odisha to learn what local people think and do about preventing snakebites and getting medical help after getting bitten.
  • The results showed that people often don't know enough about snakes, use wrong first aid methods, can't easily reach healthcare, and have different beliefs about treatment, which all make the problem worse.
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The rise of Multi-Drug Resistant (MDR) bacterial pathogens to most, if not all, currently available antibacterial agents has become a global threat. As a consequence of the antibiotic resistance epidemic, phage therapy has emerged as a potential alternative to conventional antibiotics. Despite the high therapeutic advantages of phage therapy, they have not yet been successfully used in the clinic due to various limitations of narrow host specificity compared to antibiotics, poor adhesion on biofilm surface, and susceptibility to both human and bacterial defences.

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  • Multimorbidity is increasing in Nepal, but there's limited research, so this study aimed to review existing literature to estimate its prevalence and identify risk factors and consequences.
  • The researchers analyzed data from various medical databases, including a total of seven relevant studies, which showed a prevalence of multimorbidity ranging from 13.96% to 70.1%, with a pooled prevalence of 25.05%.
  • Key risk factors for multimorbidity included older age, living in urban areas, and lower levels of education, highlighting significant variability in study methods and prevalence rates.
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The World Health Organization considers Universal Neonatal Hearing Screening (UNHS) essential to global public health. Rashtriya Bal Swasthya Karyakram has included newborn hearing screening in India since 2013. The program faces human, infrastructure, and equipment shortages.

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Background: India relies primarily on direct smear microscopy for tuberculosis (TB) diagnosis. However, the low sensitivity of smear microscopy emphasizes the need to improve its performance. We recently described the development of 'TB' kit which showed improved performance over direct smear microscopy at National Reference Laboratories (NRLs) in India.

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Background: Multimorbidity, the concurrent presence of multiple chronic health conditions in an individual, represents a mounting public health challenge. Chronic illnesses are prevalent in the Indigenous populations, which contributes to multimorbidity. However, the epidemiology of multimorbidity in this population is not well studied.

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Background: Pyrazinamide (PZA) is important for identification in multi-drug-resistant tuberculosis patients before starting therapy. PZA drug susceptibility testing (DST) is essential for the management of drug-resistant and susceptible TB patients.

Aims: The degree of drug resistance among TB patients and discrepancy between DST results of the phenotype and genotype were assessed.

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Background: By encouraging treatment adherence and lowering mortality, dietary supplements can serve as adjuvant therapy for the success of medical interventions. We determined the effect of locally accessible food supplements on treatment outcomes, and health-related quality of life in patients with pulmonary tuberculosis initiating anti-tuberculosis treatment (ATT) in Odisha, India.

Method: Between September 2017 and December 2018, implementation research in patients with newly diagnosed sputum smear-positive pulmonary tuberculosis initiating ATT in five districts of the tribal belt of Odisha, offered food supplements along with ATT in a phased manner.

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Background: Mycobacterium tuberculosis (Mtb) is the causative agent of tuberculosis (TB), with a high global prevalence and mortality rate. To control the gruesome pathogen, a deep understanding of pathophysiology and host-pathogen interaction is essential for early diagnosis and novel drug development. Cytokines play a crucial role in infection and susceptibility, and their expressions could serve as potential biomarkers to enhance our understanding of Mtb pathophysiology for improved therapeutic approaches.

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With the decline in HIV mortality, a concomitant increase in morbidity and death not directly related to HIV has been witnessed. Consequently, many countries especially low- and middle-income countries (LMICs) are now facing the dual burden of HIV and non-communicable diseases (NCDs). 2.

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  • - Intimate partner violence (IPV) is a significant human rights violation linked to gender inequality, impacting both developing and industrialized nations; the study evaluates IPV prevalence concerning women's empowerment and sociodemographic factors.
  • - Utilizing data from India's National Family Health Survey (2019-21), the study employed statistical methods to analyze the relationship between sociodemographic variables and different forms of IPV, including physical, emotional, and sexual violence.
  • - Findings revealed that 26.21% of empowered women experienced IPV, with less empowered women 74% more susceptible to emotional abuse; additionally, partner alcohol consumption was a major risk factor for various forms of violence, highlighting the need for enhanced efforts in women’s empowerment through education
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This study evaluated the performance of cobas MTB and cobas MTB-RIF/INH for the diagnosis of tuberculosis and detection of rifampicin (RIF) and isoniazid (INH) resistance. Adults presenting with pulmonary tuberculosis symptoms were recruited in South Africa, Moldova, and India. Performance of cobas MTB was assessed against culture, whereas cobas MTB-RIF/INH was assessed using phenotypic drug susceptibility testing and whole-genome sequencing as composite reference standards.

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  • This is the first systematic review and meta-analysis focusing on the prevalence, risk factors, and consequences of multimorbidity in India, analyzing various studies to gather comprehensive data.
  • The review included 35 relevant articles out of over 5400 identified, revealing a pooled prevalence of 20% for multimorbidity, primarily affecting healthcare usage and quality of life.
  • The findings highlight significant variations in multimorbidity across different age groups and regions, emphasizing the need for further research and interventions targeting vulnerable populations.
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While many studies have documented adverse impact of multiple chronic conditions or multimorbidity on COVID-19 outcomes in patients, there is scarcity of report on how physicians managed these patients. We investigated the experiences and challenges of clinicians in managing patients with multimorbidity throughout the COVID-19 pandemic in Odisha state, India. To understand the factors influencing illness management and the adaptive responses of physicians alongside the evolving pandemic, we followed a longitudinal qualitative study design.

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