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  1. Article: A dysregulated calcium homeostasis as the earliest pathological sign in stem cell-derived Parkinson's disease neurons?

    Prakash, Nilima

    Neural regeneration research

    2023  Volume 19, Issue 7, Page(s) 1421–1422

    Language English
    Publishing date 2023-11-08
    Publishing country India
    Document type Journal Article
    ZDB-ID 2388460-5
    ISSN 1876-7958 ; 1673-5374
    ISSN (online) 1876-7958
    ISSN 1673-5374
    DOI 10.4103/1673-5374.387986
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Internet-based cognitive behaviour therapy for the prevention, treatment and relapse prevention of eating disorders: A systematic review and meta-analysis.

    Hamid, Nilima

    PsyCh journal

    2023  Volume 13, Issue 1, Page(s) 5–18

    Abstract: Eating disorders (EDs) are undertreated worldwide. In the UK the lag between recognition of symptoms and treatment ranges from about 15 months to in excess of 2 years. Internet-based cognitive behaviour therapy (ICBT) could be a viable alternative to ... ...

    Abstract Eating disorders (EDs) are undertreated worldwide. In the UK the lag between recognition of symptoms and treatment ranges from about 15 months to in excess of 2 years. Internet-based cognitive behaviour therapy (ICBT) could be a viable alternative to face-to-face cognitive behaviour therapy (CBT) that avoids the negative impacts of delayed interventions. Based on evidence from randomised controlled trials (RCTs), this systematic review investigated the efficacy of minimally guided self-help ICBT, without face-to-face therapy, for the prevention, treatment and relapse prevention of all types of EDs in adults. The electronic databases MEDLINE, PsychINFO, CENTRAL, Scopus, and Web of Science were searched between 1991 and 2021. Inclusion criteria specified RCTs with ICBT versus inactive comparison groups. The Cochrane Risk of Bias Tool-2 was used for quality assessments. Qualitative synthesis and meta-analyses were conducted. Findings typically showed medium significant beneficial effect sizes for prevention studies ranging from (-0.31 [95% CI: -0.57, -0.06] to -0.47 [95% CI: -0.82, -0.11]) and generally large effect sizes for the treatment studies ranging from (-0.30 [95% CI: -0.57, -0.03] to -1.11 [95% CI: -1.47, -0.75]). Relapse prevention studies yielded mainly small non-significant beneficial effects with significant effect sizes of (-0.29 [95% CI: -0.56, -0.03] and -0.43 [95% CI: -0.70, -0.16]). Only the treatment studies reached clinical significance and cognitive symptoms improved more than behavioural symptoms. ICBT appears to be efficacious for the prevention, treatment and relapse prevention of eating disorders with treatment interventions being the most beneficial. However, the evidence base is very small, particularly for treatment and relapse prevention, indicating the need for more high-quality RCTs.
    MeSH term(s) Adult ; Humans ; Secondary Prevention ; Cognitive Behavioral Therapy ; Feeding and Eating Disorders/prevention & control ; Internet
    Language English
    Publishing date 2023-12-17
    Publishing country Australia
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 2717141-3
    ISSN 2046-0260 ; 2046-0252
    ISSN (online) 2046-0260
    ISSN 2046-0252
    DOI 10.1002/pchj.715
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Oral health in individuals with bleeding disorders: A systematic review and meta-analysis.

    Bhadauria, Upendra Singh / Purohit, Bharathi / Nilima, Nilima / Priya, Harsh

    Haemophilia : the official journal of the World Federation of Hemophilia

    2024  

    Abstract: Background: Individuals with bleeding disorders have been reported to have a number of oral health issues due to varying conditions. A comprehensive evaluation of the different oral health conditions has not been carried out in the past. This systematic ...

    Abstract Background: Individuals with bleeding disorders have been reported to have a number of oral health issues due to varying conditions. A comprehensive evaluation of the different oral health conditions has not been carried out in the past. This systematic review and meta-analysis was carried out to collate and critically analyse existing research, and provide a comprehensive overview of the current state of knowledge on oral health.
    Methods: A comprehensive search was conducted in electronic databases, including PubMed, Scopus and Embase, in October 2023. No restriction on time frame or language was applied. The risk of bias for cross-sectional studies was assessed using the Agency for Healthcare Research and Quality (AHRQ) tool, and case control studies were assessed using the New Castle Ottawa Scale (NOS).
    Results: Twenty-two articles were included in the final analysis with a total sample size of 2422 subjects. Of the 22 articles assessed, nine quantitative assessments were included in the Meta analysis. Pooled data analysis was carried out. A total of 13 studies reported medium risk whereas the remaining nine studies showed low risk of bias. The weighted mean DMFT scores in individuals with bleeding disorders were found to be 2.43 [0.62. 4.24], mean dmft was 2.79 [1.05, 4.53] and mean OHI-S was reported to be 1.79 [1.00, 2.57], respectively.
    Conclusion: The findings emphasize that these individuals have fair oral hygiene and lower dmft/DMFT scores. Oral bleeding emerged as an important oral health component to be cautiously dealt with particularly during the stages of exfoliation/shedding.
    Language English
    Publishing date 2024-04-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1229713-6
    ISSN 1365-2516 ; 1351-8216 ; 1355-0691
    ISSN (online) 1365-2516
    ISSN 1351-8216 ; 1355-0691
    DOI 10.1111/hae.15009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Minimal Clinically Important Difference of Scales Reported in Stroke Trials: A Review.

    Mishra, Biswamohan / Sudheer, Pachipala / Agarwal, Ayush / Nilima, Nilima / Srivastava, Madakasira Vasantha Padma / Vishnu, Venugopalan Y

    Brain sciences

    2024  Volume 14, Issue 1

    Abstract: There is a growing awareness of the significance of using minimum clinically important differences (MCIDs) in stroke research. An MCID is the smallest change in an outcome measure that is considered clinically meaningful. This review is the first to ... ...

    Abstract There is a growing awareness of the significance of using minimum clinically important differences (MCIDs) in stroke research. An MCID is the smallest change in an outcome measure that is considered clinically meaningful. This review is the first to provide a comprehensive summary of various scales and patient-reported outcome measures (PROMs) used in stroke research and their MCID values reported in the literature, including a concise overview of the concept of and methods for determining MCIDs in stroke research. Despite the controversies and limitations surrounding the estimation of MCIDs, their importance in modern clinical trials cannot be overstated. Anchor-based and distribution-based methods are recommended for estimating MCIDs, with patient self-evaluation being a crucial component in capturing the patient's perspective on their health. A combination of methods can provide a more comprehensive understanding of the clinical relevance of treatment effects, and incorporating the patient's perspective can enhance the care of stroke patients.
    Language English
    Publishing date 2024-01-13
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci14010080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A Systematic Review of the Statistical Methods Adopted for Analyzing Follow-Up Data in Cohort Multiple Randomized Controlled Trial.

    Narzari, Hina / Nilima, Nilima / Vishnu, Venugopalan Y / Khan, Maroof A / Gupta, Anu / Srivastava, Vasantha Padma

    Cureus

    2024  Volume 16, Issue 1, Page(s) e51558

    Abstract: Background: The cohort multiple randomized controlled trial (cmRCT) can tackle some of the weaknesses of an RCT which has triggered the interest of researchers considerably over time. Several challenges persist regarding the methods of analyzing such ... ...

    Abstract Background: The cohort multiple randomized controlled trial (cmRCT) can tackle some of the weaknesses of an RCT which has triggered the interest of researchers considerably over time. Several challenges persist regarding the methods of analyzing such valued data. The paucity of international recommendations concerning the statistical methods for analyzing trial data has led to a variety of strategies further complicating the result comparison. Our aim was to review the different cmRCT analysis methods since cmRCT was first proposed in 2010.
    Methodology: A search for full-length studies presenting statistical analysis of the data collected adopting a cmRCT design was conducted on PubMed, Cochrane Library, EMBASE, JSTOR, Scopus, MEDLINE, and ClinicalTrials.gov.
    Results: Out of 186 studies screened, we selected 22 for the full-text screening and 11 were found eligible for data extraction. All 11 studies were conducted in high-income countries, reflecting the design being underutilized in other settings. All of the studies were found to have used intention-to-treat (ITT) analysis with four of them utilizing instrumental variables (IV) analysis or a complier average causal effect (CACE). Randomization was noted often to be interchangeably used for random selection. Sample size calculation was not clearly specified in the majority of the studies.
    Conclusion: Clarity regarding the distinction between an RCT and a cmRCT is warranted. The fundamental difference in design, which leads to certain biases that need to be taken care of by adopting IV or CACE analysis, has to be understood before taking up a cmRCT.
    Language English
    Publishing date 2024-01-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.51558
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Psychometric Properties of the Oral Health Values Scale and Cultural Adaptation in the Indian Population.

    Bhadauria, Upendra S / Purohit, Bharathi / Nilima, Nilima / Priya, Harsh / Hansraj, Waidya N / Singh, Sarveshwari

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53942

    Abstract: Aim: The Oral Health Values Scale is a multidimensional instrument that identifies and measures a person's values related to oral health. This scale has been validated in American respondents. This study aims to evaluate the adaptability and validity of ...

    Abstract Aim: The Oral Health Values Scale is a multidimensional instrument that identifies and measures a person's values related to oral health. This scale has been validated in American respondents. This study aims to evaluate the adaptability and validity of the Oral Health Values Scale in the Hindi language (H-OHVS).
    Methodology: A total of 240 adults participated in the study that was carried out from July to November 2022. An offline one-to-one survey was carried out to collect data by an investigator blinded to the study protocol. The translation and testing of the OHVS were carried out based on the cross-cultural adaptation guidelines of the American Academy of Orthopedic Surgeons (AAOS) Evidence-Based Medicine Committee. The content validity was assessed by an expert panel. Construct validity was analyzed through Exploratory Factor Analysis (EFA), utilizing principal component analysis with varimax rotation. The internal consistency of the Hindi version of OHVS was evaluated using Cronbach's alpha.
    Results:  The results showed that H-OHVS had an Item-level Construct Validity Index (I-CVI) ranging from 0.82 to 1.00. Two components, compliance and hesitance, were formed on H-OHVS accounting for 63.91% of the cumulative variance. The resulting model fit indices on confirmatory factor analysis presented an adequate fit to the data. The overall Cronbach's alpha coefficient for H-OHVS (α = 0.868) presents excellent internal consistency.
    Conclusions: The study findings provide a certain degree of evidence in favor of this scale and establish the Oral Health Values Scale (OHVS) as a psychometrically sound measure.
    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53942
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Geographic variation and factors associated with anemia among under-fives in India

    Jeetendra Yadav / Nilima Nilima

    Clinical Epidemiology and Global Health, Vol 9, Iss , Pp 261-

    A multilevel approach

    2021  Volume 268

    Abstract: This study investigates the individual, household, and community-level determinants of anemia and to report the locations with poor anemia status among under-fives. A secondary data derived from the fourth round of the National Family Health Survey ... ...

    Abstract This study investigates the individual, household, and community-level determinants of anemia and to report the locations with poor anemia status among under-fives. A secondary data derived from the fourth round of the National Family Health Survey conducted in India in the period 2015–2016 was used. The study focused on the percentage of under-fives who had anemia across India. A choropleth map was obtained to present the distribution of anemia among under-fives in India. A multilevel logistic regression model was used to investigate the factors associated with anemia among under-fives. Stata and R software were used for the analysis. The age of the child, size of child at birth, birth interval, mother's age at the time of birth, mother's and father's education, religion, social group, wealth quintile, and region of residence are significant predictors of the childhood anemia. Communally underprivileged children are highly likely to be anemic as compared to those in other areas requiring special attention. The occurrence of childhood anemia was highest in Central India followed by North, Union Territories, East, West, and South of India. In addition to the biological naivety of young mothers, being from a communally underprivileged group also affects health outcomes among under-fives. A consistent effort on increasing the education level of women in India along with a well-planned awareness program is needed to enable women in making informed decisions towards the health outcome of children. These programs must also focus the incentives of delaying first birth until the mother is 25.
    Keywords Anemia ; U-5s ; Multilevel ; Spatial ; India ; Public aspects of medicine ; RA1-1270
    Subject code 950
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Bridging the gap between statistical significance and clinical relevance: A systematic review of minimum clinically important difference (MCID) thresholds of scales reported in movement disorders research.

    Mishra, Biswamohan / Sudheer, Pachipala / Rajan, Roopa / Agarwal, Ayush / Srivastava, M V Padma / Nilima, Nilima / Vishnu, Venugopalan Y

    Heliyon

    2024  Volume 10, Issue 5, Page(s) e26479

    Abstract: Background: Minimum clinically important difference : Objectives: To provide a comprehensive summary of MCID thresholds of various symptom severity scales reported in movement disorder.: Methods: We conducted systematic review of the literature ... ...

    Abstract Background: Minimum clinically important difference
    Objectives: To provide a comprehensive summary of MCID thresholds of various symptom severity scales reported in movement disorder.
    Methods: We conducted systematic review of the literature and included studies of one or more movement disorders, and reporting MCID scales.
    Results: 2763 reports were screened. Final review included 32 studies. Risk of bias (RoB) assessment showed most studies were of good quality. Most commonly evaluated scale was Unified Parkinson's Disease Rating Scale (UPDRS) (11 out of 32). Four studies assessing MDS-UPDRS had assessed its different sub-parts, reporting a change of 2.64,3.05,3.25 and 0.9 points to detect clinically meaningful improvement and 2.45,2.51,4.63 and 0.8 points to detect clinically meaningful worsening, for the Part I, II, III and IV, respectively. For Parts II + III, I + II + III and I + II + III + IV, MCID thresholds reported for clinically meaningful improvement were 5.73, 4.9, 6.7 and 7.1 points respectively; while those for clinically meaningful worsening were 4.7, 4.2, 5.2 and 6.3 points, respectively. MCID thresholds reported for other scales included Abnormal Involuntary Movement Scale (AIMS), Toronto Western Spasmodic Torticollis Rating Scale (TWSRS), and Burke-Fahn-Marsden Dystonia Scale (BFMD).
    Conclusion: This review summarizes all the MCID thresholds currently reported in Movement disorders research and provides a comprehensive resource for future trials, highlighting the need for standardized and validated MCID scales in movement disorder research.
    Language English
    Publishing date 2024-02-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2024.e26479
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Supernumerary teeth

    Chhavi Jain / Nilima Sharma

    Acta Medica International, Vol 10, Iss 2, Pp 155-

    Case series with their planned management

    2023  Volume 159

    Abstract: Introduction: Supernumerary teeth are extra teeth to normal dental formula. They are developmental anomalies which may have multiple etiologies. They may or may not erupt in the oral cavity and are mostly diagnosed incidentally. Case Reports: This is the ...

    Abstract Introduction: Supernumerary teeth are extra teeth to normal dental formula. They are developmental anomalies which may have multiple etiologies. They may or may not erupt in the oral cavity and are mostly diagnosed incidentally. Case Reports: This is the presentation of case series of seven such different types of supernumerary teeth. Among these cases, the treatment of two cases has been shown along with their photographs. Conclusion: Their most common form is mesiodens which are commonly found in the maxillary anterior region creating unesthetic appearance for which patient seeks treatment. If not diagnosed and managed on time they can create complications such as malalignment, diastema, crowding, noneruption, delayed, or altered eruption of permanent tooth. This case series is an attempt to showcase the deleterious effect of supernumerary teeth and their varied clinical presentation along with their plan of management.
    Keywords extra teeth ; hyperdontia ; mesiodens ; diastema ; polydontia ; supernumerary tooth ; Medicine ; R
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Insilico

    Girdhar, Neha / Yadav, Vikas / Kumari, Nilima / Subbarao, Naidu / Krishnamachari, Annangarachari

    Journal of biomolecular structure & dynamics

    2024  , Page(s) 1–12

    Abstract: The current trend in biomedical research is on prioritizing infections based on multidrug resistance. ...

    Abstract The current trend in biomedical research is on prioritizing infections based on multidrug resistance.
    Language English
    Publishing date 2024-02-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 49157-3
    ISSN 1538-0254 ; 0739-1102
    ISSN (online) 1538-0254
    ISSN 0739-1102
    DOI 10.1080/07391102.2024.2321511
    Database MEDical Literature Analysis and Retrieval System OnLINE

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