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Article ; Online: Correlates of Protection for Cholera.

Iyer, Anita S / Harris, Jason B

2021 Volume 224, Issue 12 Suppl 2, Page(s) S732–S737

Abstract: A correlate of protection (CoP) is a measured adaptive immune response to vaccination or infection that is associated with protection against disease. However, the degree to which a CoP can serve as a surrogate end point for vaccine efficacy should ... ...

Abstract	A correlate of protection (CoP) is a measured adaptive immune response to vaccination or infection that is associated with protection against disease. However, the degree to which a CoP can serve as a surrogate end point for vaccine efficacy should depend on the robustness of this association. While cholera toxin is a dominant target of the human antibody response to Vibrio cholerae infection, antitoxin responses are not associated with long-term immunity, and are not effective CoPs for cholera. Instead, protection appears to be mediated by functional antibodies that target the O-polysaccharide coated V. cholerae outer membrane. Vibriocidal antibodies, which are complement-dependent bactericidal antibodies, remain the most accepted CoP for cholera and are used as surrogate end points in some vaccine studies. However, the association between vibriocidal antibody titers and immunity is not absolute, and they are unlikely to reflect a mechanistic correlate of protection against cholera.
MeSH term(s)	Adaptive Immunity ; Antibodies, Bacterial/immunology ; Cholera/prevention & control ; Cholera Toxin/immunology ; Cholera Vaccines/adverse effects ; Cholera Vaccines/immunology ; Humans ; Vaccine Efficacy ; Vibrio cholerae/immunology ; Vibrio cholerae O1/immunology
Chemical Substances	Antibodies, Bacterial ; Cholera Vaccines ; Cholera Toxin (9012-63-9)
Language	English
Publishing date	2021-10-20
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jiab497
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Article ; Online: Investigating Stress-relaxation and Failure Responses in the Trachea.

Singh, Anita / Majmudar, Tanmay / Iyer, Adi / Iyer, Diya / Balasubramanian, Sriram

Journal of visualized experiments : JoVE

2022 , Issue 188

Abstract: ... relaxation behavior of porcine trachea that were pre-stretched to 0% or 10% strain for 300 s, followed ...

Abstract	The biomechanical properties of the trachea directly affect the airflow and contribute to the biological function of the respiratory system. Understanding these properties is critical to understanding the injury mechanism in this tissue. This protocol describes an experimental approach to study the stress-relaxation behavior of porcine trachea that were pre-stretched to 0% or 10% strain for 300 s, followed by mechanical tensile loading until failure. This study provides details of the experimental design, data acquisition, analyses, and preliminary results from the porcine tracheae biomechanical testing. Using the detailed steps provided in this protocol and the data analysis MATLAB code, future studies can investigate the time-dependent viscoelastic behavior of trachea tissue, which is critical to understanding its biomechanical responses during physiological, pathological, and traumatic conditions. Furthermore, in-depth studies of the biomechanical behavior of the trachea will critically aid in improving the design of related medical devices such as endotracheal implants that are widely used during surgeries.
MeSH term(s)	Swine ; Animals ; Trachea/surgery ; Trachea/physiology ; Tensile Strength ; Stress, Mechanical ; Biomechanical Phenomena ; Respiratory Physiological Phenomena ; Elasticity ; Viscosity
Language	English
Publishing date	2022-10-18
Publishing country	United States
Document type	Journal Article ; Video-Audio Media ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural
ZDB-ID	2259946-0
ISSN	1940-087X ; 1940-087X
ISSN (online)	1940-087X
ISSN	1940-087X
DOI	10.3791/64245
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Article: Perianal Complications in Puerperium and Associated Risk Factors

Iyer, Sriranjani / Jadhav, Sarojini / Kandi, Anita / Soyam, Suraj

Journal of Coloproctology

2023 Volume 43, Issue 02, Page(s) 93–98

Abstract: Introduction: Puerperium is defined as the period of about 6 weeks after childbirth during which the mother's reproductive organs return to their original nonpregnant condition. Perianal problems, including constipation, hemorrhoids, and fissure, are ... ...

Abstract	Introduction: Puerperium is defined as the period of about 6 weeks after childbirth during which the mother's reproductive organs return to their original nonpregnant condition. Perianal problems, including constipation, hemorrhoids, and fissure, are among the most common digestive complications among women in puerperium, observed in about 30 to 50 percent of women. Considering this great prevalence and the paucity of similar research in this aspect in an Indian population, the present study was done to assess the prevalence of perianal problems seen in puerperium and the risk factors associated with it. Methods: This was a prospective observational cohort study done over the span of 3 years on 902 puerperal women. A self-structured questionnaire covered detailed history and per-rectal and proctoscopy examination. Patients were followed up telephonically for regression of perianal problems post management. Results: The total prevalence of all the perianal problems in puerperium encountered in the present study, out of 902 subjects, was 36.3% (327 subjects). The perianal problems encountered were fissure in 185 patients (20.5%) followed by hemorrhoids in 110 patients (12.2%), perianal episiotomy infections in 25 patients (2.8%), and perineal tears in 7 patients (0.8%). On comparative analysis, positive family history, macrosomia, past history of perianal diseases, and second stage of labour > 50 minutes showed a higher prevalence in the perianal disease group as compared with the healthy group. Out of these, positive family history of perianal diseases ( p = 0.015) and past history of perianal diseases ( p = 0.016) were statistically significant. The percentage of multipara with hemorrhoids was more when compared to primipara ( p = 0.01), patients who had a past history of any perianal disease have a higher chance of hemorrhoids during puerperium ( p = 0.00). Patients with constipation in pregnancy have higher chance of hemorrhoids in pregnancy ( p = 0.00). Patients who had a past history of any perianal disease had higher chance of fissure during puerperium ( p = 0.00). A total of 27.74% of the study subjects with macrosomic babies had fissure in their puerperal period which on comparison with patients with non macrosomic babies was only 19.22%, which was statistically significant ( p = 0.02). Conclusion: Constipation, hemorrhoids, and anal fissures are the most common perianal problems in postpartum period causing significant reduction in the quality of life of those afflicted with them.
Keywords	puerperium ; constipation ; haemorrhoids ; anal fissures
Language	English
Publishing date	2023-06-01
Publisher	Thieme Revinter Publicações Ltda.
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2664477-0
ISSN	2317-6423 ; 2237-9363 ; 2317-6423
ISSN (online)	2317-6423
ISSN	2237-9363 ; 2317-6423
DOI	10.1055/s-0043-1769488
Database	Thieme publisher's database

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Article ; Online: No Benefit to Delaying Pneumococcal Polysaccharide Vaccination in HIV-Positive Adults.

Leggat, David J / Iyer, Anita S / Westerink, M A Julie

The Journal of infectious diseases

2015 Volume 212, Issue 11, Page(s) 1851–1852

MeSH term(s)	Adolescent ; Adult ; HIV Infections/epidemiology ; Humans ; Pneumococcal Infections/epidemiology ; Pneumococcal Infections/prevention & control ; Pneumococcal Vaccines/administration & dosage ; Pneumococcal Vaccines/adverse effects ; Pneumococcal Vaccines/immunology ; Vaccination/statistics & numerical data ; Young Adult
Chemical Substances	23-valent pneumococcal capsular polysaccharide vaccine ; Pneumococcal Vaccines
Language	English
Publishing date	2015-12-01
Publishing country	United States
Document type	Letter ; Research Support, N.I.H., Extramural
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jiv349
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Book ; Online: A Survey of Machine Learning Algorithms for 6G Wireless Networks

Patil, Anita / Iyer, Sridhar / Pandya, Rahul Jashvantbhai

2022

Abstract: The primary focus of Artificial Intelligence/Machine Learning (AI/ML) integration within the wireless technology is to reduce capital expenditures, optimize network performance, and build new revenue streams. Replacing traditional algorithms with deep ... ...

Abstract	The primary focus of Artificial Intelligence/Machine Learning (AI/ML) integration within the wireless technology is to reduce capital expenditures, optimize network performance, and build new revenue streams. Replacing traditional algorithms with deep learning AI techniques have dramatically reduced the power consumption and improved the system performance. Further, implementation of ML algorithms also enables the wireless network service providers to (i) offer high automation levels from distributed AI/ML architectures applicable at the network edge, (ii) implement application-based traffic steering across the access networks, (iii) enable dynamic network slicing for addressing different scenarios with varying quality of service requirements, and (iv) enable ubiquitous connectivity across the various 6G communication platforms. In this chapter, we review/survey the ML techniques which are applicable to the 6G wireless networks. and also list the open problems of research which require timely solutions.
Keywords	Computer Science - Networking and Internet Architecture
Subject code	000
Publishing date	2022-03-16
Publishing country	us
Document type	Book ; Online
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Article ; Online: Squamous cell carcinoma found in the mesorectum: an extremely rare pathology.

Mahin, Humaira H / Iyer, Anita / Putnis, Soni

ANZ journal of surgery

2020 Volume 90, Issue 9, Page(s) 1789–1790

MeSH term(s)	Carcinoma, Squamous Cell/surgery ; Humans ; Mesocolon ; Rectal Neoplasms/diagnostic imaging ; Rectal Neoplasms/surgery
Language	English
Publishing date	2020-01-07
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.15654
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Article ; Online: Rasmussen's encephalitis: Imaging spectrum on simultaneous FDG-PET and MRI imaging correlation.

Vivek S, Murumkar / Kulanthaivelu, Karthik / Nagaraj, Chandana / Raghavendra, K / Mhatre, Radhika / Mundlamuri, Ravindra / Asranna, Ajay / Mangalore, Sandhya / Iyer, Vishwantha / Mahadevan, Anita / Bharath, Rose Dawn / Saini, Jitender / Sadashiva, Nishanth / Rao, Malla Bhaskara / Arivazhagan, A / Sinha, Sanjib

Clinical imaging

2022 Volume 85, Page(s) 48–54

Abstract: Rasmussen encephalitis (RE) is a rare, chronic, idiopathic, progressive, inflammatory, neurodegenerative disease process and typically seen in pediatric cohort. Although primarily a disease affecting children, adult cases with RE have also been reported. ...

Abstract	Rasmussen encephalitis (RE) is a rare, chronic, idiopathic, progressive, inflammatory, neurodegenerative disease process and typically seen in pediatric cohort. Although primarily a disease affecting children, adult cases with RE have also been reported. It manifests as drug refractory epilepsia partialis continua (EPC). Immunomodulation, although delays progression of disease, seldom influences outcome. Imaging is crucial for early diagnosis, and monitoring disease progression. Magnetic resonance imaging (MRI) is mainstay of imaging with nuclear imaging being a complimentary tool for diagnosing RE. Typical imaging features of RE on MRI are hemispherical atrophy, caudate nucleus atrophy, ex vacuo dilatation of the ventricular system and sulci. We review 5 cases of RE who fulfilled diagnostic criteria proposed by Bien et al. in 2005. One patient had typical imaging pattern of RE while other four patients had atypical imaging features of RE on PET-MRI.
MeSH term(s)	Adult ; Atrophy ; Child ; Encephalitis/diagnostic imaging ; Fluorodeoxyglucose F18 ; Humans ; Magnetic Resonance Imaging/methods ; Neurodegenerative Diseases
Chemical Substances	Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2022-02-19
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1028123-x
ISSN	1873-4499 ; 0899-7071
ISSN (online)	1873-4499
ISSN	0899-7071
DOI	10.1016/j.clinimag.2022.02.006
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Article ; Online: Predicting Vibrio cholerae infection and symptomatic disease: a systems serology study.

The Lancet. Microbe

2023 Volume 4, Issue 4, Page(s) e228–e235

Abstract: Background: Vibriocidal antibodies are currently the best characterised correlate of protection against cholera and are used to gauge immunogenicity in vaccine trials. Although other circulating antibody responses have been associated with a decreased ... ...

Abstract	Background: Vibriocidal antibodies are currently the best characterised correlate of protection against cholera and are used to gauge immunogenicity in vaccine trials. Although other circulating antibody responses have been associated with a decreased risk of infection, the correlates of protection against cholera have not been comprehensively compared. We aimed to analyse antibody-mediated correlates of protection from both V cholerae infection and cholera-related diarrhoea. Methods: We conducted a systems serology study that analysed 58 serum antibody biomarkers as correlates of protection against V cholerae O1 infection or diarrhoea. We used serum samples from two cohorts: household contacts of people with confirmed cholera in Dhaka, Bangladesh, and cholera-naive volunteers who were recruited at three centres in the USA, vaccinated with a single dose of CVD 103-HgR live oral cholera vaccine, and then challenged with V cholerae O1 El Tor Inaba strain N16961. We measured antigen-specific immunoglobulin responses against antigens using a customised Luminex assay and used conditional random forest models to examine which baseline biomarkers were most important for classifying individuals who went on to develop infection versus those who remained uninfected or asymptomatic. V cholerae infection was defined as having a positive stool culture result on days 2-7 or day 30 after enrolment of the household's index cholera case and, in the vaccine challenge cohort, was the development of symptomatic diarrhoea (defined as two or more loose stools of ≥200 mL each, or a single loose stool of ≥300 mL over a 48-h period). Findings: In the household contact cohort (261 participants from 180 households), 20 (34%) of the 58 studied biomarkers were associated with protection against V cholerae infection. We identified serum antibody-dependent complement deposition targeting the O1 antigen as the most predictive correlate of protection from infection in the household contacts, whereas vibriocidal antibody titres ranked lower. A five-biomarker model predicted protection from V cholerae infection with a cross-validated area under the curve (cvAUC) of 79% (95% CI 73-85). This model also predicted protection against diarrhoea in unvaccinated volunteers challenged with V cholerae O1 after vaccination (n=67; area under the curve [AUC] 77%, 95% CI 64-90). Although a different five-biomarker model best predicted protection from the development of cholera diarrhoea in the challenged vaccinees (cvAUC 78%, 95% CI 66-91), this model did poorly at predicting protection against infection in the household contacts (AUC 60%, 52-67). Interpretation: Several biomarkers predict protection better than vibriocidal titres. A model based on protection against infection among household contacts was predictive of protection against both infection and diarrhoeal illness in challenged vaccinees, suggesting that models based on observed conditions in a cholera-endemic population might be more likely to identify broadly applicable correlates of protection than models trained on single experimental settings. Funding: National Institute of Allergy and Infectious Diseases and National Institute of Child Health and Human Development, National Institutes of Health.
MeSH term(s)	Child ; Humans ; Cholera/epidemiology ; Cholera/prevention & control ; Antibodies, Bacterial ; Bangladesh/epidemiology ; Vibrio cholerae ; Diarrhea/epidemiology
Chemical Substances	Antibodies, Bacterial
Language	English
Publishing date	2023-03-09
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ISSN	2666-5247
ISSN (online)	2666-5247
DOI	10.1016/S2666-5247(22)00391-3
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Article ; Online: Age-related immune response to pneumococcal polysaccharide vaccination: lessons for the clinic.

Iyer, Anita S / Ohtola, Jennifer A / Westerink, M A Julie

Expert review of vaccines

2014 Volume 14, Issue 1, Page(s) 85–97

Abstract: Due to distinct immunological limitations, both infants and elderly individuals are highly susceptible to Streptococcus pneumoniae. Routine immunization of children with the conjugate vaccine over the past decade has substantially reduced incidence of ... ...

Abstract	Due to distinct immunological limitations, both infants and elderly individuals are highly susceptible to Streptococcus pneumoniae. Routine immunization of children with the conjugate vaccine over the past decade has substantially reduced incidence of vaccine-serotype related invasive pneumococcal disease in both vaccinated and unvaccinated persons of all ages. However, disease burden remains high in the elderly despite the effects of herd protection and recommended use of polysaccharide vaccine in this population for over 30 years. An increase in drug resistance and incidence of infections caused by non-vaccine serotypes emphasize the need to improve current vaccination strategies. Recent efforts to identify age-associated defects in vaccine response and the use of conjugate vaccine and potential alternatives in adults are discussed.
MeSH term(s)	Age Factors ; Humans ; Pneumococcal Vaccines/administration & dosage ; Pneumococcal Vaccines/immunology ; Polysaccharides, Bacterial/immunology ; Streptococcus pneumoniae/immunology ; Vaccination/methods
Chemical Substances	Pneumococcal Vaccines ; Polysaccharides, Bacterial
Language	English
Publishing date	2014-10-01
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	2181284-6
ISSN	1744-8395 ; 1476-0584
ISSN (online)	1744-8395
ISSN	1476-0584
DOI	10.1586/14760584.2015.963058
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Zs.A 6077: Show issues

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Article ; Online: Human mucosal-associated invariant T (MAIT) cells possess capacity for B cell help.

Bennett, Michael S / Trivedi, Shubhanshi / Iyer, Anita S / Hale, J Scott / Leung, Daniel T

Journal of leukocyte biology

2017 Volume 102, Issue 5, Page(s) 1261–1269

Abstract: Mucosal-associated invariant T (MAIT) cells are an innate-like T cell subset, restricted by the nonclassic MHC class I-related protein MR1 and enriched at mucosal sites. Human studies have shown an association between MAIT cells and pathogen-specific ... ...

Abstract	Mucosal-associated invariant T (MAIT) cells are an innate-like T cell subset, restricted by the nonclassic MHC class I-related protein MR1 and enriched at mucosal sites. Human studies have shown an association between MAIT cells and pathogen-specific antibody responses. In this study, we investigate the effect of human MAIT cells on B cells ex vivo. We found that supernatants from microbe- or cytokine-stimulated MAIT cells, when added to purified autologous B cells, increase frequencies of plasmablasts and promote IgA, IgG, and IgM production. We found effects to be mostly MR1-dependent and that the increases in plasmablasts are likely a result of increased differentiation from memory B cells. Furthermore, microbe-activated MAIT cell supernatant contains multiple cytokines known to stimulate B cells, including IL-6, -10, and -21. This study thus provides the first direct evidence of a newly identified role of MAIT cells in providing help to B cells.
MeSH term(s)	B-Lymphocytes/cytology ; B-Lymphocytes/immunology ; Cell Communication/immunology ; Cell Separation ; Coculture Techniques ; Escherichia coli/chemistry ; Escherichia coli/drug effects ; Escherichia coli/immunology ; Formaldehyde/chemistry ; Formaldehyde/toxicity ; Gene Expression ; Gene Expression Regulation/immunology ; Histocompatibility Antigens Class I/genetics ; Histocompatibility Antigens Class I/immunology ; Humans ; Immunity, Mucosal ; Immunoglobulin A/biosynthesis ; Immunoglobulin G/biosynthesis ; Immunoglobulin M/biosynthesis ; Immunologic Memory ; Interferon-gamma/genetics ; Interferon-gamma/immunology ; Interleukin-10/genetics ; Interleukin-10/immunology ; Interleukin-6/genetics ; Interleukin-6/immunology ; Interleukins/genetics ; Interleukins/immunology ; Lymphocyte Activation ; Minor Histocompatibility Antigens/genetics ; Minor Histocompatibility Antigens/immunology ; Mucosal-Associated Invariant T Cells/cytology ; Mucosal-Associated Invariant T Cells/immunology ; Polymers/chemistry ; Polymers/toxicity ; Primary Cell Culture ; Signal Transduction ; Tumor Necrosis Factor-alpha/genetics ; Tumor Necrosis Factor-alpha/immunology
Chemical Substances	Histocompatibility Antigens Class I ; IL10 protein, human ; IL6 protein, human ; Immunoglobulin A ; Immunoglobulin G ; Immunoglobulin M ; Interleukin-6 ; Interleukins ; MR1 protein, human ; Minor Histocompatibility Antigens ; Polymers ; Tumor Necrosis Factor-alpha ; interleukin-21 ; Interleukin-10 (130068-27-8) ; Formaldehyde (1HG84L3525) ; Interferon-gamma (82115-62-6) ; paraform (Y19UC83H8E)
Language	English
Publishing date	2017-08-14
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	605722-6
ISSN	1938-3673 ; 0741-5400
ISSN (online)	1938-3673
ISSN	0741-5400
DOI	10.1189/jlb.4A0317-116R
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