252 results match your criteria: "Byramjee-Jeejeebhoy Government Medical College[Affiliation]"

Discordance of 3rd and 4th generation QuantiFERON-TB Gold assays by pregnancy stages in India.

J Clin Tuberc Other Mycobact Dis

February 2025

Weill Cornell Medicine, Center for Global Health, 402 East 67th Street, 2nd Floor, New York, NY 10065, USA.

Background: Pregnancy and HIV affect CD4+ T lymphocytes and impact performance of QuantiFERON-TB Gold (QFT). We compared the results of QFT with QuantiFERON-TB Gold Plus (QFT-Plus), which also measures CD8+ responses to TB antigens, during pregnancy and postpartum.

Methods: We screened 516 pregnant women for TB infection (TBI) with IGRA.

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Background Wound dehiscence (WD) is a major postoperative complication following abdominal surgeries, particularly exploratory laparotomy. Identifying preoperative risk factors and using predictive tools, such as the Rotterdam Risk Index (RRI), are crucial for early intervention and improving patient outcomes. This study aimed to evaluate the risk factors associated with WD and assess the predictive accuracy of the RRI in a cohort of patients undergoing abdominal surgeries.

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Background: Post-acne scarring causes severe physical and psychological distress. Multiple treatment modalities are available with no single gold standard treatment.

Aim And Objectives: To assess and compare the efficacy and safety of fractional CO2 laser and microneedling in atrophic acne scars and corelate with variables like scar type, duration, and Fitzpatrick skin types.

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The identification of individuals with the greatest risk of progression to active tuberculosis (TB) disease from the huge reservoir of () infected individuals continues to remain an arduous ascent in the global effort to control TB. In a two-year prospective study, we analysed metabolic profiles in the unstimulated and TB antigen stimulated QuantiFERON supernatants of 14 healthy household contacts (HHCs) who progressed to TB disease (Progressors) and 14 HHCs who remained healthy (Non-Progressors). We identified 21 significantly dysregulated metabolites in the TB antigen-stimulated QuantiFERON supernatants of Progressors, of which the combination of Malic acid and N-Arachidonoylglycine had maximum AUC of 0.

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Article Synopsis
  • This study explored the adverse events (AEs) related to COVID-19 vaccination in patients with rheumatoid arthritis (RA) as part of the COVAD-2 study, which surveyed participants from February to June 2022.
  • It included 7203 participants, including 1423 RA patients, and found that RA patients reported higher rates of both major and minor AEs compared to healthy controls, and even more when compared to those with other autoimmune diseases.
  • Active RA significantly increased the risk of major AEs and hospitalization, while patients on certain medications like methotrexate or TNF inhibitors experienced fewer AEs than those not on these treatments.
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Objective This study aims to compare the efficacy of neoadjuvant methotrexate therapy followed by surgery versus primary surgical management in patients with stage III oral carcinoma. Methods Thirty patients diagnosed with stage III oral carcinoma were enrolled in this prospective study at a tertiary cancer research center. The patients were divided into two groups: 15 patients received neoadjuvant methotrexate therapy followed by surgery, while 15 underwent primary surgical management.

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  • A case study discusses a 32-year-old man with weakened immunity due to kidney transplants, who had a prolonged positive test for SARS-CoV-2.
  • Genome sequencing of samples taken 12 days apart identified the BA.1.1 Omicron variant and showed viral mutations changing over time.
  • The report stresses the importance of ongoing monitoring for immunocompromised individuals, as they could contribute to the emergence of new viral strains that might evade immune responses.
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  • Systemic lupus erythematosus (SLE) is a complex autoimmune disease impacting various organs, and this study aims to enhance early detection and management through comprehensive clinical profiling at diagnosis.
  • Conducted in Pune, India, the study involved 80 patients diagnosed with SLE, using detailed clinical assessments and follow-ups to track disease activity over 1.5 years.
  • Results showed that the majority of the patients were young women, with a variety of symptoms, including a high prevalence of oral ulcers, indicating the diverse clinical manifestations of SLE.
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  • The study aimed to establish normative data for the active range of motion (ROM) of finger joints in a healthy Indian population, as such data was previously unavailable.
  • Conducted across four geographical regions in India, certified goniometers were used for precise measurements, ensuring reliable data through a standardized methodology and pilot study.
  • Results showed the middle finger had the highest flexion at the metacarpophalangeal (MCP) joint, while the index finger had the greatest proximal interphalangeal (PIP) joint flexion, providing insight into finger joint functionality in the sampled population.
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  • The study investigates how comorbidities impact the quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared to other autoimmune diseases and healthy individuals, utilizing self-reported data from the COVAD-2 survey.
  • Results show IIM patients have significantly higher rates of comorbidities, basic multitasking, complex multitasking, and mental health disorders.
  • The presence of these conditions correlates with lower overall physical and mental health scores, suggesting the need for targeted management strategies for IIM patients based on identified clinical clusters.
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Myositis India: Early lessons from a patient support group in a resource-limited setting.

Int J Rheum Dis

September 2024

Division of Rheumatology and Clinical Immunology, Arthritis and Autoimmunity Center and UPMC Myositis Center, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

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Article Synopsis
  • * Out of 656 individuals screened, 502 (77%) began the therapy, with a high completion rate of 92%, and only a small percentage (4%) discontinued due to side effects; 57% experienced some adverse events but most were mild.
  • * The findings indicate that 3HP is both scalable and safe in Indian health settings, showing no new TB cases during the follow-up year, suggesting its effectiveness as a preventive measure for at-risk groups.
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Introduction: India's National TB Elimination Programme plans to roll out short-course TB preventive therapy (TPT) using 3 months of rifapentine and isoniazid (3HP). Understanding the feasibility and safety of children in programmatic settings is critical for widespread implementation. We present the findings of a targeted scale-up of 3HP among children and adolescents living with HIV (CALHIV) and child household contacts (>2 to <6 years) of pulmonary TB patients (CHHC).

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Background:  Following the emergence of the JN.1 SARS-CoV-2 variant, variants with key mutations in the spike protein, such as L455F, F456L, and R346T, were identified. In early January 2024, the KP.

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Rifampicin-resistant (RR) tuberculosis (TB) in children is a major global health concern but is often neglected in economics research. Accurate cost estimations across the spectrum of paediatric RR-TB treatment regimens are critical inputs for prioritisation and budgeting decisions, and an existing knowledge gap at local and international levels. This normative cost analysis was nested in a Phase I/II pharmacokinetics, safety, tolerability, and acceptability trial of TB medications in children in South Africa, the Philippines and India.

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Early Detection of KP.2 SARS-CoV-2 Variant using Wastewater-based Genomic Surveillance in Pune, Maharashtra, India.

J Travel Med

July 2024

National Collection of Industrial Microorganisms (NCIM), Biochemical Sciences Division, CSIR-National Chemical Laboratory (NCL), Pune 411008, Maharashtra, India.

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COVID-19 severity, breakthrough infections and vaccine safety in young individuals with autoimmune diseases: insights from the COVAD study.

Rheumatol Int

September 2024

Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.

Article Synopsis
  • A study explored the vaccine-related adverse events (AEs) and COVID-19 impacts among young adults (ages 18-35) with autoimmune diseases compared to healthy individuals, analyzing 20,685 responses from COVID-19 vaccination surveys.
  • It found that early mild AEs were more common in patients with rheumatic (RMDs) and non-rheumatic autoimmune diseases (nr-ADs) compared to healthy controls, while severe AEs were rare across all groups.
  • Despite the differences in infection and flare reports, the study confirmed the anti-SARS-CoV-2 vaccine's safety for young adults with autoimmune diseases, noting that disease type plays a bigger role in infection experiences than the use of immunosuppress
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In this prospective cohort of 2006 individuals with drug-susceptible tuberculosis in India, 18% had unfavorable treatment outcomes (4.7% treatment failure, 2.5% recurrent infection, 4.

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Tuberculosis is a leading cause of death from an infectious agent globally. Infectious subclinical tuberculosis accounts for almost half of all tuberculosis cases in national tuberculosis prevalence surveys, and possibly contributes to transmission and might be associated with morbidity. Modelling studies suggest that new tuberculosis vaccines could have substantial health and economic effects, partly based on the assumptions made regarding subclinical tuberculosis.

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Background: Transmission is contributing to the slow decline of tuberculosis (TB) incidence globally. Drivers of TB transmission in India, the country estimated to carry a quarter of the World's burden, are not well studied. We conducted a genomic epidemiology study to compare epidemiological success, host factors and drug resistance (DR) among the four major Mycobacterium tuberculosis (Mtb) lineages (L1-4) circulating in Pune, India.

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Characteristics of emerging new autoimmune diseases after COVID-19 vaccination: A sub-study by the COVAD group.

Int J Rheum Dis

May 2024

Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK.

Article Synopsis
  • A study investigated rare cases of systemic autoimmune diseases (SAIDs) reported after COVID-19 vaccinations by surveying individuals with new-onset SAIDs post-vaccination using a validated e-survey dataset.* -
  • Of 16,750 participants, 74 reported new-onset SAIDs, mostly idiopathic inflammatory myopathies, arthritis, and polymyalgia rheumatica; higher incidences were found among Caucasians and Moderna vaccine recipients.* -
  • The research concluded that while the occurrence of new-onset SAIDs post-vaccination is low, certain risk factors like pre-existing autoimmune diseases, mental health issues, and ethnicity were linked to these cases.*
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Listening to patients, for the patients: The COVAD Study-Vision, organizational structure, and challenges.

Int J Rheum Dis

May 2024

Division of Musculoskeletal and Dermatological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.

Background: The pandemic presented unique challenges for individuals with autoimmune and rheumatic diseases (AIRDs) due to their underlying condition, the effects of immunosuppressive treatments, and increased vaccine hesitancy.

Objectives: The COVID-19 vaccination in autoimmune diseases (COVAD) study, a series of ongoing, patient self-reported surveys were conceived with the vision of being a unique tool to gather patient perspectives on AIRDs. It involved a multinational, multicenter collaborative effort amidst a global lockdown.

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Article Synopsis
  • - Undernutrition is the top risk factor for tuberculosis (TB) worldwide and specifically in India.
  • - A study in India found that undernutrition increases the risk of developing TB disease but not the risk of getting TB infection among people living with TB patients.
  • - The research involved multiple centers and tracked household contacts of individuals with TB to evaluate these associations.
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Background: In August 2023, the BA.2.86 SARS-CoV-2 variant, with over 30 spike protein mutations, emerged amidst the global dominance of XBB sub-lineages.

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Metabolic causes of liver disease among adults living with HIV from low- and middle-income countries: a cross-sectional study.

J Int AIDS Soc

April 2024

University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271,  Bordeaux Population Health Centre, Bordeaux, France.

Introduction: Liver disease is a leading cause of morbidity and mortality among persons living with HIV (PLHIV). While chronic viral hepatitis has been extensively studied in low- and middle-income countries (LMICs), there is limited information about the burden of metabolic disorders on liver disease in PLHIV.

Methods: We conducted a cross-sectional analysis of baseline data collected between October 2020 and July 2022 from the IeDEA-Sentinel Research Network, a prospective cohort enrolling PLHIV ≥40 years on antiretroviral treatment (ART) for ≥6 months from eight clinics in Asia, Americas, and central, East, southern and West Africa.

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