Publications by authors named "Manoj Kumar Choudhary"

During aging, arterial stiffness and blood pressure (BP) increase, while heart rate variability (HRV) decreases. We examined age-related hemodynamics in 522 individuals without cardiovascular disease during passive head-up tilt (HUT) using pulse wave analysis, whole-body impedance cardiography, and HRV analysis. Mean age was 44 years, body mass index 26 kg/m, and office BP 138/88 mmHg.

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In the pursuit of eco-friendly solutions for environmental remediation, the development of efficient photocatalyst is paramount. In this study, we report the biomimetic nanoengineering of ternary Ag@TiO/g-CN nanocomposites (NCs) using papaya leaf extract (PLE). These hybrid photocatalysts have been designed for the degradation of diverse hazardous water contaminants, including Doxycycline (DCy) antibiotic, dinotefuran (DNF) insecticide and indigo carmine (IC) dye under sunlight irradiation.

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Background: Bone marrow (BM) in addition to being the origin of primary hematological malignancies is also commonly involved in metastatic solid tumors. Bone marrow examination includes aspiration and biopsy, and it is a well-known procedure not only to diagnose hematological malignancies but also for staging and prognosis of various solid tumors. The presence of metastasis in the bone marrow is of grave prognostic significance and it is imperative to rule out marrow involvement in any malignancy where curative treatment is considered.

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Increased blood pressure upon standing is considered a cardiovascular risk factor. We investigated the reproducibility of changes in aortic blood pressure, heart rate, stroke volume, cardiac output, and systemic vascular resistance during three passive head-up tilts (HUT) in 223 participants without cardiovascular medications (mean age 46 yr, BMI 28 kg/m, 54% male). The median time gap between the first and the second HUT was 9 wk and the second and the third HUT was 4 wk.

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Article Synopsis
  • This research presents a new method for creating silver nanoparticle-coated g-CN nanocomposites using fennel seed extract, which helps reduce and stabilize the nanoparticles through natural compounds found in the extract.
  • The resulting nanocomposites were tested for their effectiveness in degrading various pollutants, showing impressive results in breaking down hazardous substances like dyes, antibiotics, and pesticides, as well as deactivating E. coli bacteria.
  • The study emphasizes the environmental benefits of using fennel seeds for synthesis, making the process sustainable and cost-effective while achieving significantly higher photocatalytic activity compared to traditional methods.
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  • Type 2 diabetes mellitus is a serious condition affecting patients' quality of life (QoL), and this study aims to examine how factors like age, type of medication, and diabetes-related complications influence health-related quality of life (HRQoL).
  • Conducted at IGIMS in India, the research used the EuroQol 5-dimensions questionnaire to assess the HRQoL of adult diabetic patients treated for at least three months.
  • The findings indicated that age significantly affects health index scores, with the majority of patients using oral medications, and higher HbA1c levels are linked to issues in mobility, self-care, and overall patient health perception.
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Background Acute kidney injury (AKI) is a common and serious condition affecting elderly patients. Despite its significance, comprehensive research focusing specifically on the clinical profile and short-term outcomes of AKI in this vulnerable population is lacking. Objective This study aimed to evaluate the clinical profile and short-term outcomes of AKI in elderly patients admitted to a tertiary care center.

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Printed documents are a common form of evidence in forensic document examination. The integration of spectroscopy with chemometrics have evolved evidential analytical interpretation of printing inks. However, we report the first ever study that explores the examination of both black and colored printed documents combined with explorative Principal Component Analysis (PCA) and supervised techniques viz.

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Background: The incidence of cardiovascular complications may be higher in unilateral than bilateral primary aldosteronism (PA). We compared noninvasive hemodynamics after targeted therapy of bilateral vs. unilateral PA.

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Article Synopsis
  • Acute kidney injury (AKI) during pregnancy is a critical clinical issue linked to high maternal and fetal morbidity, necessitating a study of its causes, symptoms, and outcomes.
  • A year-long prospective observational study at Indira Gandhi Institute of Medical Sciences involved 62 patients, primarily aged 18-25, who presented with emergency obstetric complications leading to acute kidney damage.
  • The findings revealed that most patients experienced symptoms such as oliguria, fever, and breathlessness, with a significant portion being non-booked and primigravida.
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Objectives: We examined haemodynamics, focusing on volume balance and forward and backward wave amplitudes, before and after 2.8 years of targeted treatment of primary aldosteronism. Patients with essential hypertension and normotensive individuals were examined for comparison ( n  = 40 in each group).

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  • Maternal cardiovascular disease affects 0.3 to 3.5% of pregnancies and is responsible for over 20% of maternal deaths from non-obstetric causes.
  • The study aimed to analyze the prevalence and outcomes of heart disease in pregnant women, using a multidisciplinary approach between obstetrics and cardiology.
  • Findings showed a prevalence of 5.8% heart disease among pregnant women, with rheumatic heart disease being the most common, impacting various heart valves, and requiring some patients to undergo corrective surgery.
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High haemoglobin level has been associated with metabolic syndrome, elevated blood pressure (BP), and increased mortality risk. In this cross-sectional study, we investigated the association of blood haemoglobin with haemodynamics in 743 subjects, using whole-body impedance cardiography and pulse wave analysis. The participants were allocated to sex-stratified haemoglobin tertiles with mean values 135, 144, and 154 g/L, respectively.

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Article Synopsis
  • Thrombocytopenia is a common condition with various causes and symptoms, making diagnosis difficult; early detection is vital to prevent severe bleeding.
  • A study at a tertiary care hospital included 100 patients with low platelet counts, primarily affecting those aged 46 to 55, and identified symptoms like weakness and bleeding.
  • The top causes for thrombocytopenia were found to be megaloblastic anemia and infections such as dengue and malaria, with 60% of patients experiencing bleeding.
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Low birth weight predisposes to the development of hypertension in middle- and high-income countries. We examined the relation of early life length-for-age score (Z-score) on cardiovascular function in young adults in Malawi, a low-income country. Capture of supine, seated, and standing brachial pulse waveforms (Mobil-O-Graph) were performed in 223 females and 152 males (mean age 21 years), and analyzed according to the length-for-age Z-score tertiles during the first month of life.

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Purpose: High sodium intake is an accepted risk factor for hypertension, while low Na intake has also been associated with increased risk of cardiovascular events. In this cross-sectional study, we examined the association of 24-h urinary Na excretion with haemodynamics and volume status.

Materials And Methods: Haemodynamics were recorded in 510 normotensive and never-treated hypertensive subjects using whole-body impedance cardiography and tonometric radial artery pulse wave analysis.

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Background Cardiovascular risk is higher in men than in women, but little information exists about sex-related differences in cardiovascular function from low-income countries. We compared hemodynamics between sexes in rural Malawi in a cohort followed up since their birth. Methods and Results Supine, seated, and standing hemodynamics were recorded from 251 women and 168 men (mean age, 21 years; body mass index, 21 kg/m) using oscillometric brachial waveform analyses (Mobil-O-Graph).

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Objectives: Most studies about upright regulation of blood pressure have focused on orthostatic hypotension despite the diverse hemodynamic changes induced by orthostatic challenge. We investigated the effect of passive head-up tilt on aortic blood pressure.

Methods: Noninvasive peripheral and central hemodynamics in 613 volunteers without cardiovascular morbidities or medications were examined using pulse wave analysis, whole-body impedance cardiography and heart rate variability analysis.

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Background: Elevated level of plasma uric acid (PUA) has been associated with cardiovascular disease, but whether uric acid is an independent risk factor or merely a marker remains controversial.

Methods: We investigated in a cross-sectional setting the association of PUA with hemodynamics in 606 normotensive and never-medicated hypertensive subjects (295 men, 311 women, age range 19-73 years) without cardiovascular disease or gout. In all except 15 individuals, PUA was within the normal range.

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Aldosterone-to-renin ratio (ARR) is a screening tool for primary aldosteronism (PA), but the significance of ARR when the PA criteria are not met remains largely unknown. In this cross-sectional study we investigated the association of ARR with haemodynamic variables in 545 normotensive and never-medicated hypertensive subjects (267 men, 278 women, age range 19-72 years) without suspicion of PA. Supine haemodynamic data was recorded using whole-body impedance cardiography and radial tonometric pulse wave analysis.

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Background And Aims: Atherogenic index of plasma (AIP), defined as the logarithm of triglycerides to high-density lipoprotein cholesterol (HDL-C) ratio, is a strong predictor of future cardiovascular disease. Our aim was to examine the association of AIP with haemodynamic variables in normotensive and never-treated hypertensive subjects in a cross-sectional study.

Methods: Supine haemodynamics in 615 subjects without antihypertensive and lipid-lowering medications were examined using whole-body impedance cardiography and radial pulse wave analysis.

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Herein, we report a unique single-step biogenic deposition precipitation (BDP) approach as a straightforward route for producing efficient Schottky contact between noble metal nanoparticles and wide-band-gap semiconductors. Successful preparation of Ag-ZnO heterojunctions using fennel seed extract (FSE) has been described. The effective biomolecules available in the seeds functioned as novel biogenic materials for the precipitation of adsorbed silver ions (Ag) on ZnO particles as metallic silver (Ag).

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Background And Aim: Low density lipoprotein cholesterol (LDL-C) is a primary risk factor for atherosclerosis, but it is also associated with elevated blood pressure (BP) and future development of hypertension. We examined the relationship between LDL-C and haemodynamic variables in normotensive and never-treated hypertensive subjects.

Methods: We recruited 615 volunteers (19-72 years) without lipid-lowering and BP-lowering medication.

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We examined cardiovascular function in 637 volunteers (19-72 years) without antihypertensive medication in never smokers (n = 365), present smokers (n = 81) and previous smokers (n = 191, median abstinence 10 years). Haemodynamics during passive head-up tilt were recorded using whole-body impedance cardiography and radial pulse wave analysis. Results were adjusted for age, sex, body mass index, LDL cholesterol and alcohol use.

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In the present study, an ethanolic root-bark extract of Moringa oleifera (MO) was examined for its antiulcer potential in albino Wistar rats using two experimental models: ethanol-induced and pylorus ligation-induced gastric ulceration. The extract was orally administered at three different doses (150, 350, and 500 mg/kg) for 15 consecutive days. The antiulcer effects in rats treated with different doses of the extract and omeprazole (30 mg/kg, p.

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