24 results on '"Kashikar R"'
Search Results
2. Evaluation of acoustic radiation force impulse elastography (ARFI) in the diagnosis of hepatic fibrosis and portal hypertension
- Author
-
Lala S, Kashikar R, Anjali D Amarapurkar, Gautam S, and Deepak Amarapurkar
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,General Medicine ,Impulse (physics) ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,medicine ,Portal hypertension ,030211 gastroenterology & hepatology ,Elastography ,Radiology ,Acoustic radiation force ,Hepatic fibrosis ,business - Published
- 2017
3. Hepatobiliary actinomycosis masquerading as malignancy
- Author
-
Kakkar-Kashikar R, Mangukiya Do, and Godbole Cb
- Subjects
Adult ,Male ,medicine.medical_specialty ,business.industry ,Gallbladder ,General surgery ,Biliary Tract Diseases ,Liver Diseases ,General Medicine ,Middle Aged ,Malignancy ,medicine.disease ,Actinomycosis ,Radiography ,medicine.anatomical_structure ,Liver ,medicine ,Humans ,Female ,business - Published
- 2015
4. Ophthalmic Nanoemulsion Fingolimod Formulation for Topical Application.
- Author
-
Kashikar R, Senapati S, Dudhipala N, Basu SK, Mandal N, and Majumdar S
- Subjects
- Animals, Rats, Male, Biological Availability, Ophthalmic Solutions administration & dosage, Ophthalmic Solutions chemistry, Immunosuppressive Agents administration & dosage, Immunosuppressive Agents pharmacokinetics, Immunosuppressive Agents chemistry, Administration, Topical, Nanoparticles chemistry, Polysorbates chemistry, Poloxamer chemistry, Poloxamer administration & dosage, Drug Delivery Systems, Drug Stability, Surface-Active Agents chemistry, Surface-Active Agents administration & dosage, Emulsions, Fingolimod Hydrochloride administration & dosage, Fingolimod Hydrochloride pharmacokinetics, Fingolimod Hydrochloride chemistry, Rats, Sprague-Dawley, Administration, Ophthalmic
- Abstract
Purpose: Fingolimod (FTY720; FT), a structural analog of sphingosine, has potential ocular applications. The goal of this study was to develop an FT-loaded nanoemulsion (NE; FT-NE) formulation for the efficient and prolonged delivery of FT to the posterior segment of the eye through the topical route. Methods: FT-NE formulations were prepared using homogenization followed by the probe sonication method. The lead FT-NE formulations (0.15% and 0.3% w/v loading), comprising soybean oil as oil and Tween
® 80 and Poloxamer 188 as surfactants, were further evaluated for in vitro release, surface morphology, filtration sterilization, and stability at refrigerated temperature. Ocular bioavailability following topical application of FT-NE (0.3%) was examined in Sprague-Dawley rats. Results: The formulation, at both dose levels, showed desirable physicochemical characteristics, a nearly spherical shape with homogenous nanometric size distribution, and was stable for 180 days (last time point checked) at refrigerated temperature postfiltration through a polyethersulfone (0.22 µm) membrane. In vitro release studies showed prolonged release over 24 h, compared with the control FT solution (FT-S). In vivo studies revealed that effective concentrations of FT were achieved in the vitreous humor and retina following topical application of FT-NE. Conclusions: The results from these studies demonstrate that the FT-NE formulation can serve as a viable platform for the ocular delivery of FT through the topical route.- Published
- 2024
- Full Text
- View/download PDF
5. Ferroelectricity in Ultrathin Halide Perovskites.
- Author
-
Kashikar R, Valdespino A, Ogg C, Uppgard E, Lisenkov S, and Ponomareva I
- Abstract
Ferroelectricity has recently been demonstrated in germanium-based halide perovskites. We use first-principles-based simulations to study 4-18 nm CsGeBr
3 films and develop a theory for ferroelectric ultrathin films. The theory introduces (i) a local order parameter, which identifies phase transitions into both monodomain and polydomain phases, and (ii) a dipole pattern classifier, which allows efficient and reliable identification of dipole patterns. Application of the theory to both halides CsGeBr3 and CsGeI3 and oxide BiFeO3 ultrathin ferroelectrics reveals two distinct scenarios. First, the films transition into a monodomain phase below the critical value of the residual depolarizing field. Above this critical value, the second scenario occurs, and the film undergoes a transition into a nanodomain phase. The two scenarios exhibit opposite responses of Curie temperature to thickness reduction. Application of a dipole pattern classifier reveals rich nanodomain phases in halide films: nanostripes, labyrinths, zig-zags, pillars, and lego domains.- Published
- 2024
- Full Text
- View/download PDF
6. Racial Disparities in Treatment and Outcomes of Pediatric Hepatoblastoma.
- Author
-
Billion T, Braaten M, Holland E, Mishra A, Kashikar R, Silberstein P, Tauseef A, Asghar N, DeVrieze B, and Mirza M
- Subjects
- Humans, Male, Female, Child, Preschool, Child, Infant, Survival Rate, Black or African American statistics & numerical data, Adolescent, Infant, Newborn, Retrospective Studies, Treatment Outcome, Hepatoblastoma therapy, Hepatoblastoma mortality, Hepatoblastoma ethnology, Hepatoblastoma pathology, Liver Neoplasms therapy, Liver Neoplasms mortality, Liver Neoplasms pathology, Liver Neoplasms ethnology, Healthcare Disparities statistics & numerical data, Healthcare Disparities ethnology, White People statistics & numerical data
- Abstract
Pediatric Hepatoblastoma is a rare malignancy of the liver. This study used the National Cancer Database (NCDB) to identify 1068 patients diagnosed with hepatoblastoma from 2004 to 2020. χ 2 and Analysis of Variance testing, as well as Kaplan-Meier, Cox Regression, and multinomial logistic regression models were used. Data was analyzed using SPSS version 27, and statistical significance was set at α=0.05. Our results found Black patients experienced a significantly lower median survival rate compared with White patients, a difference which persisted after controlling for covariates. Black patients were also less likely to receive surgery and chemotherapy and more likely to be from low-income households than White patients. White patients had a significantly shorter inpatient hospital stay compared to Black patients and were more likely to receive treatment at more than 1 CoC accredited facility. There was no significant difference in grade, size of tumor, metastasis, or time of diagnosis to surgery. This study showed Black patients experienced inferior overall survival when diagnosed and treated for hepatoblastoma compared to White patients., Competing Interests: The authors declare no conflict of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
7. Coupling of the Structure and Magnetism to Spin Splitting in Hybrid Organic-Inorganic Perovskites.
- Author
-
Kashikar R, DeTellem D, Ghosh PS, Xu Y, Ma S, Witanachchi S, Phan MH, Lisenkov S, and Ponomareva I
- Abstract
Hybrid organic-inorganic perovskites are famous for the diversity of their chemical compositions, phases, phase transitions, and associated physical properties. We use a combination of experimental and computational techniques to reveal a strong coupling between structure, magnetism, and spin splitting in a representative of the largest family of hybrid organic-inorganic perovskites: the formates. With the help of first-principles simulations, we find spin splitting in both conduction and valence bands of [NH
2 NH3 ]Co(HCOO)3 induced by spin-orbit interactions, which can reach up to 14 meV. Our magnetic measurements reveal that this material exhibits canted antiferromagnetism below 15.5 K. The direction of the associated antiferromagnetic order parameter is strongly coupled with spin splitting in the centrosymmetric phase, allowing for the creation and annihilation of spin splitting through the application of a magnetic field. Furthermore, the structural phase transition to the experimentally observed polar Pna 21 phase completely changes the aforementioned spin splitting and its coupling to magnetic degrees of freedom. This reveals that in [NH2 NH3 ]Co(HCOO)3 , the structure and magnetism are strongly coupled to spin splitting and can be manipulated through electric and magnetic fields. We believe that our findings offer an important step toward a fundamental understanding and practical applications of materials with coupled properties.- Published
- 2024
- Full Text
- View/download PDF
8. Enhanced Piezoelectric Response at Nanoscale Vortex Structures in Ferroelectrics.
- Author
-
Shi X, Nazirkar NP, Kashikar R, Karpov D, Folarin S, Barringer Z, Williams S, Kiefer B, Harder R, Cha W, Yuan R, Liu Z, Xue D, Lookman T, Ponomareva I, and Fohtung E
- Abstract
The piezoelectric response is a measure of the sensitivity of a material's polarization to stress or its strain to an applied field. Using in operando X-ray Bragg coherent diffraction imaging, we observe that topological vortices are the source of a 5-fold enhancement of the piezoelectric response near the vortex core. The vortices form where several low-symmetry ferroelectric phases and phase boundaries coalesce. Unlike bulk ferroelectric solid solutions in which a large piezoelectric response is associated with coexisting phases in the proximity of the triple point, the largest responses for pure BaTiO
3 at the nanoscale are in spatial regions of extremely small spontaneous polarization at vortex cores. The response decays inversely with polarization away from the vortex, analogous to the behavior in bulk ceramics as the cation compositions are varied away from the triple point. We use first-principles-based molecular dynamics to augment our observations, and our results suggest that nanoscale piezoelectric materials with a large piezoelectric response can be designed within a parameter space governed by vortex cores. Our findings have implications for the development of next-generation nanoscale piezoelectric materials.- Published
- 2024
- Full Text
- View/download PDF
9. Persistent and Quasipersistent Spin Textures in Halide Perovskites Induced by Uniaxial Stress.
- Author
-
Kashikar R, Popoola A, Lisenkov S, Stroppa A, and Ponomareva I
- Abstract
Persistent spin textures are highly desirable for applications in spintronics, as they allow for long carrier spin lifetimes. However, they are also rare, as they require a delicate balance between spin-momentum coupling parameters. We used density functional theory simulations to predict the possibility of achieving these desirable spin textures through the application of uniaxial stress. Hybrid organic-inorganic perovskite MPSnBr
3 (MP = CH3 PH3 ) is a ferroelectric semiconductor which exhibits persistent spin textures near its conduction band minimum and mostly Rashba type spin textures in the vicinity of its valence band maximum. Application of uniaxial stress leads to the gradual evolution of the valence band spin textures from mostly Rashba type to quasipersistent ones under a tensile load and to pure Rashba or quasipersistent ones under a compressive load. The material exhibits flexibility, a rubber-like response, and both positive and negative piezoelectric constants. A combination of such properties may create opportunities for flexible and rubbery spintronic devices.- Published
- 2023
- Full Text
- View/download PDF
10. First-principles property assessment of hybrid formate perovskites.
- Author
-
Popoola A, Ghosh PS, Kingsland M, Kashikar R, DeTellem D, Xu Y, Ma S, Witanachchi S, Lisenkov S, and Ponomareva I
- Abstract
Hybrid organic-inorganic formate perovskites, AB(HCOO)3, are a large family of compounds that exhibit a variety of phase transitions and diverse properties, such as (anti)ferroelectricity, ferroelasticity, (anti)ferromagnetism, and multiferroism. While many properties of these materials have already been characterized, we are not aware of any study that focuses on the comprehensive property assessment of a large number of formate perovskites. A comparison of the properties of materials within the family is challenging due to systematic errors attributed to different techniques or the lack of data. For example, complete piezoelectric, dielectric, and elastic tensors are not available. In this work, we utilize first-principles density functional theory based simulations to overcome these challenges and to report structural, mechanical, dielectric, piezoelectric, and ferroelectric properties of 29 formate perovskites. We find that these materials exhibit elastic stiffness in the range 0.5-127.0 GPa; highly anisotropic linear compressibility, including zero and even negative values; dielectric constants in the range 0.1-102.1; highly anisotropic piezoelectric response with the longitudinal values in the range 1.18-21.12 pC/N; and spontaneous polarizations in the range 0.2-7.8 μC/cm2. Furthermore, we propose and computationally characterize a few formate perovskites that have not been reported yet., (© 2023 Author(s). Published under an exclusive license by AIP Publishing.)
- Published
- 2023
- Full Text
- View/download PDF
11. Instigation of the epoch of nanovaccines in cancer immunotherapy.
- Author
-
Shah S, Famta P, Tiwari V, Kotha AK, Kashikar R, Chougule MB, Chung YH, Steinmetz NF, Uddin M, Singh SB, and Srivastava S
- Subjects
- Animals, Humans, Nanomedicine, Nanotechnology, Immunotherapy methods, Mammals, Tumor Microenvironment, Neoplasms therapy, Cancer Vaccines therapeutic use, Nanoparticles therapeutic use
- Abstract
Cancer is an unprecedented proliferation of cells leading to abnormalities in differentiation and maturation. Treatment of primary and metastatic cancer is challenging. In addition to surgery, chemotherapy and radiation therapies have been conventionally used; however, they suffer from severe toxicity and non-specificity. Immunotherapy, the science of programming the body's own defense system against cancer has gained tremendous attention in the last few decades. However, partial immunogenic stimulation, premature degradation and inability to activate dendritic and helper T cells has resulted in limited clinical success. The era of nanomedicine has brought about several breakthroughs in various pharmaceutical and biomedical fields. Hereby, we review and discuss the interplay of tumor microenvironment (TME) and the immunological cascade and how they can be employed to develop nanoparticle-based cancer vaccines and immunotherapies. Nanoparticles composed of lipids, polymers and inorganic materials contain useful properties suitable for vaccine development. Proteinaceous vaccines derived from mammalian viruses, bacteriophages and plant viruses also have unique advantages due to their immunomodulation capabilities. This review accounts for all such considerations. Additionally, we explore how attributes of nanotechnology can be utilized to develop successful nanomedicine-based vaccines for cancer therapy. This article is categorized under: Nanotechnology Approaches to Biology > Nanoscale Systems in Biology Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease., (© 2022 Wiley Periodicals LLC.)
- Published
- 2023
- Full Text
- View/download PDF
12. Retrieval of Separated Intracanal Endodontic Instruments: A Series of Four Case Reports.
- Author
-
Hindlekar A, Kaur G, Kashikar R, and Kotadia P
- Abstract
The separation of an endodontic instrument during a root canal procedure is one of the most common endodontic mishaps. Separation of endodontic instruments may block access to the apical portion of the root and hamper the disinfection process. It obstructs the appropriate debridement of the canal apical to the fragment, jeopardizing the treatment's outcome. However, due to the advancements in the methods and armamentarium, the effective retrieval of a separated instrument (SI) from the root canal has become possible. This paper includes a case series of management of separated instruments whereby SI was successfully removed in four cases. The instruments were separated intracanal at various levels in the middle and apical third of maxillary and mandibular molar teeth. The level of separation was located, staging performed, and SI was removed using an ultrasonic device under magnification. Removal of the SI was followed by obturation till the entire working length and subsequent post-endodontic restoration. Patient satisfaction with treatment outcomes in all cases was good. Case evaluation, good armamentarium, adequate knowledge along with good clinical skills and experience aid in the successful retrieval of separated instruments. Removal of the instrument without further damage to radicular dentin is important to maintain the integrity of the tooth., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Hindlekar et al.)
- Published
- 2023
- Full Text
- View/download PDF
13. Social determinants of diabetic retinopathy and impact of sight-threatening diabetic retinopathy: A study from Pune, India.
- Author
-
Kulkarni S, Patil V, Kashikar R, Deshpande R, and Dole K
- Subjects
- Humans, Social Determinants of Health, India epidemiology, Vision Disorders etiology, Blindness, Diabetes Mellitus, Type 2 complications, Diabetic Retinopathy diagnosis, Diabetic Retinopathy epidemiology, Diabetic Retinopathy etiology
- Abstract
Purpose: Diabetes-related retinopathy is the leading cause of blindness in India. The study was carried out with the purpose of studying the association of sight-threatening diabetic retinopathy (STDR) with socioeconomic factors and demonstrating the impact of STDR on the affected individual., Methods: A mixed methods (quantitative and qualitative) research design was used. The study participants were divided into two groups for quantitative analysis. The control group consisted of non-sight-threatening diabetic retinopathy, whereas the study group consisted of sight-threatening diabetic retinopathy. Apart from demographics, data on comorbidities, type and duration of diabetes mellitus (DM), health insurance status, and socioeconomic data were collected from each individual. A statistical test (Chi-square) was performed to study the association between socioeconomic (SE) classes and STDR. For the qualitative part, a few people were chosen. Face-to-face interviews were conducted in depth., Results: A total of 207 individuals, were recruited, of which 69 had STDR and the remaining 138 had non-STDR. The incidence of STDR was high among patients with lower socioeconomic class (SEC) (upper lower and lower), and univariate analysis revealed a strong association between STDR and SEC, the presence of comorbidities, presence of health insurance, type and duration of DM, and P value <0.05. SEC, in contrast, emerged as an independent risk factor for STDR in multivariate analysis. STDR had a devastating effect on all patients interviewed. The financial impact was most likely the most severe., Conclusion: People with lower SEC are more likely to suffer from STDR-related vision loss. The impact of such vision loss on individuals is multifaceted, including a negative impact on social and work life, psychological well-being, and, most importantly, a significant financial impact., Competing Interests: None
- Published
- 2023
- Full Text
- View/download PDF
14. Tuning Mesoporous Silica Nanoparticles in Novel Avenues of Cancer Therapy.
- Author
-
Shah S, Famta P, Bagasariya D, Charankumar K, Sikder A, Kashikar R, Kotha AK, Chougule MB, Khatri DK, Asthana A, Raghuvanshi RS, Singh SB, and Srivastava S
- Subjects
- Humans, Silicon Dioxide, Drug Delivery Systems, Porosity, Nanoparticles therapeutic use, Nanocomposites, Neoplasms drug therapy
- Abstract
The global menace of cancer has led to an increased death toll in recent years. The constant evolution of cancer therapeutics with novel delivery systems has paved the way for translation of innovative therapeutics from bench to bedside. This review explains the significance of mesoporous silica nanoparticles (MSNs) as delivery vehicles with particular emphasis on cancer therapy, including novel opportunities for biomimetic therapeutics and vaccine delivery. Parameters governing MSN synthesis, therapeutic agent loading characteristics, along with tuning of MSN toward cancer cell specificity have been explained. The advent of MSN in nanotheranostics and its potential in forming nanocomposites for imaging purposes have been illustrated. Additionally, various hurdles encountered during the bench to bedside translation have been explained along with potential avenues to circumvent them. This also opens up new horizons in drug delivery, which could be useful to researchers in the years to come.
- Published
- 2022
- Full Text
- View/download PDF
15. Subacute toxicity study of the ethanolic extract of Mesua ferrea (L.) flowers in rats.
- Author
-
Shirsat P, A R Z, Kashikar R, Athavale M, Athavale T, Taware P, Saldanha T, Kolhe S, and Tembhurne S
- Subjects
- Animals, Aspartate Aminotransferases metabolism, Female, Liver, Male, Rats, Toxicity Tests, Subacute, Flowers chemistry, Magnoliopsida chemistry, Plant Extracts toxicity
- Abstract
Mesua ferrea Linn. is used traditionally in India and South East Asian countries as an antiseptic, antidote and a brain tonic. Recent pharmacological studies on the plant have highlighted M. ferrea to be a rich source of secondary metabolites, with proven therapeutic applications. Since the toxicity of a plant following repeated exposure is of higher clinical significance, the present investigation was conducted to establish the subacute toxicity profile of the ethanolic extract of Mesua ferrea flowers (MFE). The study was conducted in accordance with the OECD Guideline 407, wherein MFE was administered orally to groups of male and female rats ( n = 5/group/sex) at the doses of 100, 500 and 1000 mg/kg, over a period of 28 days. Repeated administration of MFE had no adverse effect on the growth rate and hematological parameters of the animals. There were no changes in the biochemical parameters, except for a slight decrease in the CHOL (total cholesterol) levels, and an increase in the levels of AST (aspartate aminotransferase) and ALT (alanine aminotransferase), at the highest dose. The latter corroborated with the histopathological findings exhibiting mild lymphocytic infiltration and hepatocyte degeneration observed in the liver tissues of both sexes. According to the study, the no-observed-adverse-effect level (NOAEL) of M. ferrea in the 28-day repeated dose toxicity study in rats was 500 mg/kg. Though the overall effects of the extract at the highest dose did not translate into any serious complications, its effect on hepatic function needs to be established over a longer period of study.
- Published
- 2022
- Full Text
- View/download PDF
16. Advances in nanoparticle mediated targeting of RNA binding protein for cancer.
- Author
-
Kashikar R, Kotha AK, Shah S, Famta P, Singh SB, Srivastava S, and Chougule MB
- Subjects
- Humans, Polymers metabolism, RNA, RNA-Binding Proteins metabolism, Nanoparticles, Neoplasms drug therapy, Neoplasms metabolism
- Abstract
RNA binding proteins (RBPs) enact a very crucial part in the RNA directive processes. Atypical expression of these RBPs affects many steps of RNA metabolism, majorly altering its expression. Altered expression and dysfunction of RNA binding proteins lead to cancer progression and other diseases. We enumerate various available interventions, and recent findings focused on targeting RBPs for cancer therapy and diagnosis. The treatment, sensitization, chemoprevention, gene-mediated, and virus mediated interventions were studied to treat and diagnose cancer. The application of passively and actively targeted lipidic nanoparticles, polymeric nanoparticles, virus-based particles, and vaccine-based immunotherapy for the delivery of therapeutic agent/s against cancer are discussed. We also discuss the formulation aspect of nanoparticles for achieving delivery at the site of action and ongoing clinical trials targeting RBPs., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier B.V. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
17. Nanomedicine based approaches for combating viral infections.
- Author
-
Shah S, Chougule MB, Kotha AK, Kashikar R, Godugu C, Raghuvanshi RS, Singh SB, and Srivastava S
- Subjects
- Drug Delivery Systems, Humans, Nanotechnology, Polymers, Nanomedicine, Virus Diseases drug therapy
- Abstract
Millions of people die each year from viral infections across the globe. There is an urgent need to overcome the existing gap and pitfalls of the current antiviral therapy which include increased dose and dosing frequency, bioavailability challenges, non-specificity, incidences of resistance and so on. These stumbling blocks could be effectively managed by the advent of nanomedicine. Current review emphasizes over an enhanced understanding of how different lipid, polymer and elemental based nanoformulations could be potentially and precisely used to bridle the said drawbacks in antiviral therapy. The dawn of nanotechnology meeting vaccine delivery, role of RNAi therapeutics in antiviral treatment regimen, various regulatory concerns towards clinical translation of nanomedicine along with current trends and implications including unexplored research avenues for advancing the current drug delivery have been discussed in detail., (Copyright © 2021 Elsevier B.V. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
18. Case of the Very Rare Gallbladder Paraganglioma.
- Author
-
Shreya S, Kashikar R, Shraddha SR, and Shrinivas D
- Abstract
Gallbladder paraganglioma is a very rare condition, and only a few cases have been reported in the literature. Herein, we present and discuss the clinical and radiological findings of a 72-year-old woman who complained of heaviness, pain, and on and off watery discharge from the left ear for 1 year and reduced hearing in both ears. She was thoroughly investigated radiologically where multiple paragangliomas were found with the discovery of the very rare gallbladder paraganglioma. There is a need to realize the importance of thorough radiological evaluation in cases of head and neck paraganglioma to look for more such lesions in the body for early identification of patients with familial paraganglioma syndromes. With this practice, gene mutation carriers can be identified early in the course of their disease and brought to surgical attention before their disease becomes extensive and potentially life-threatening., Competing Interests: Conflicts of Interest None declared., (Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
- Published
- 2021
- Full Text
- View/download PDF
19. Impact of prophylactic intracameral moxifloxacin on post-cataract surgery endophthalmitis: data from a tertiary eye care facility in rural India.
- Author
-
Shenoy P, Goh EJH, Kashikar R, Kohli GM, Sachdeva M, Naman V, Sood D, Bhatia P, Sen P, Agrawal R, and Sen A
- Subjects
- Anterior Chamber, Anti-Bacterial Agents therapeutic use, Antibiotic Prophylaxis, Humans, India epidemiology, Moxifloxacin therapeutic use, Postoperative Complications drug therapy, Retrospective Studies, Cataract, Cataract Extraction, Endophthalmitis epidemiology, Endophthalmitis etiology, Endophthalmitis prevention & control, Eye Infections, Bacterial drug therapy, Eye Infections, Bacterial epidemiology, Eye Infections, Bacterial prevention & control
- Abstract
Purpose: To study the impact of prophylactic intracameral (IC) moxifloxacin on the incidence, clinical profile and outcomes in eyes developing post-cataract surgery endophthalmitis (PCE)., Methods: This was a single-centre, retrospective, comparative, observational study in which all eyes with PCE between June 2013 and May 2014 without IC moxifloxacin prophylaxis (group A) and June 2015-May 2016 with IC moxifloxacin prophylaxis (group B) were analysed., Results: A total of 101,815 cataract surgeries were performed in group A and 112,967 in group B. PCE was diagnosed in 179 eyes (0.18%) in group A and 92 eyes (0.08%) in group B (p < 0.001). Greater reduction in risk of PCE was seen in subsidised patients compared to private. The presenting and final visual acuity was significantly better in group B (p < 0.05)., Conclusions: Prophylactic IC moxifloxacin reduced the incidence of PCE with maximum benefit being observed for the subsidised patients and also helped achieve a significantly better visual acuity following the resolution of endophthalmitis., (© 2021. The Author(s), under exclusive licence to Springer Nature B.V.)
- Published
- 2021
- Full Text
- View/download PDF
20. A generic Slater-Koster description of the electronic structure of centrosymmetric halide perovskites.
- Author
-
Kashikar R, Gupta M, and Nanda BRK
- Abstract
The halide perovskites have truly emerged as efficient optoelectronic materials and show the promise of exhibiting nontrivial topological phases. Since the bandgap is the deterministic factor for these quantum phases, here, we present a comprehensive electronic structure study using first-principle methods by considering nine inorganic halide perovskites CsBX
3 (B = Ge, Sn, Pb; X = Cl, Br, I) in their three structural polymorphs (cubic, tetragonal, and orthorhombic). A series of exchange-correlation (XC) functionals are examined toward accurate estimation of the bandgap. Furthermore, while 13 orbitals are active in constructing the valence and conduction band spectra, here, we establish that a 4 orbital based minimal basis set is sufficient to build the Slater-Koster tight-binding (SK-TB) model, which is capable of reproducing the bulk and surface electronic structures in the vicinity of the Fermi level. Therefore, like the Wannier based TB model, the presented SK-TB model can also be considered an efficient tool to examine the bulk and surface electronic structures of the halide family of compounds. As estimated by comparing the model study and DFT band structure, the dominant electron coupling strengths are found to be nearly independent of XC functionals, which further establishes the utility of the SK-TB model.- Published
- 2021
- Full Text
- View/download PDF
21. Novel technique for traumatic cyclodialysis repair with phacoemulsification and Cionni's ring implantation.
- Author
-
Sen A, Joshi R, Kashikar R, and Jain T
- Subjects
- Adolescent, Ciliary Body diagnostic imaging, Ciliary Body surgery, Cyclodialysis Clefts diagnosis, Cyclodialysis Clefts etiology, Eye Injuries diagnosis, Humans, Male, Prosthesis Design, Tomography, Optical Coherence methods, Wounds, Nonpenetrating diagnosis, Ciliary Body injuries, Cyclodialysis Clefts surgery, Eye Injuries complications, Lens Implantation, Intraocular, Phacoemulsification methods, Wounds, Nonpenetrating complications
- Abstract
A 17-years-old boy presented with cataract, 360° choroidal effusion and disc oedema secondary to chronic hypotony. Gonioscopy and AS-OCT revealed 2 clock hours of cyclodialysis in the superonasal quadrant. The case was successively managed with phacoemulsification with foldable IOL in the bag and Cionni's ring sutured in the superonasal quadrant. Post surgery, the BCVA improved from counting finger 1 meter to 20/40. IOP returned to normal and there was resolution of choroidal effusion and fundus signs. The case highlights the use of Cionni's ring in management of small cyclodialysis cleft by providing internal compression., Competing Interests: There are no conflicts of interest.
- Published
- 2019
- Full Text
- View/download PDF
22. CLIPPERS Spectrum Disorder: A Rare Pediatric Neuroinflammatory Condition.
- Author
-
Nemani T, Udwadia-Hegde A, Keni Karnavat P, Kashikar R, and Epari S
- Abstract
CLIPPERS (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids) is a recently described, rare neuroinflammatory disorder diagnosed by clinical symptoms involving the brain stem with a distinct pattern on neuroimaging and a perivascular T-lymphocyte infiltrate on brain biopsy. It is a condition usually described in adults in the fourth to fifth decade. We report a case of 13-year-old Indian boy who presented with recurrent episodes of ataxia and diplopia with onset at 7 years of age. He was investigated extensively to rule out infective, neoplastic, autoimmune, and demyelinating conditions over a span of 6 years. The diagnosis of CLIPPERS was entertained on the basis of clinico-radio-pathological correlation. Treatment with steroids and steroid-sparing agents, particularly methotrexate, seems to provide a promising outcome. With very few cases in literature so far, reporting of a larger case series with pediatric onset may expand it to CLIPPERS spectrum disorder., Competing Interests: Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2019
- Full Text
- View/download PDF
23. Cortical Cystic Necrosis in Wilson Disease.
- Author
-
Shetty AS, Kashikar R, Nagral A, and Wadia PM
- Subjects
- Adolescent, Animals, Cysts pathology, Hepatolenticular Degeneration drug therapy, Hepatolenticular Degeneration physiopathology, Humans, Male, Necrosis pathology, Cerebral Cortex pathology, Hepatolenticular Degeneration pathology
- Published
- 2016
- Full Text
- View/download PDF
24. Hepatobiliary actinomycosis masquerading as malignancy.
- Author
-
Godbole CB, Mangukiya DO, Kakkar-Kashikar R, and Doctor NH
- Subjects
- Adult, Female, Gallbladder pathology, Humans, Liver diagnostic imaging, Liver pathology, Male, Middle Aged, Radiography, Actinomycosis, Biliary Tract Diseases, Liver Diseases
- Published
- 2014
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.