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  1. Article ; Online: Culture-Independent Raman Spectroscopic Identification of Bacterial Pathogens from Clinical Samples Using Deep Transfer Learning.

    Singh, Saumya / Kumbhar, Dipak / Reghu, Dhanya / Venugopal, Shwetha J / Rekha, P T / Mohandas, Silpa / Rao, Shruti / Rangaiah, Ambica / Chunchanur, Sneha K / Saini, Deepak Kumar / Umapathy, Siva

    Analytical chemistry

    2022  Volume 94, Issue 42, Page(s) 14745–14754

    Abstract: ... Raman spectroscopy, a label-free and noninvasive technique, has overcome these drawbacks by providing ... rapid biochemical signatures from a single bacterium. Raman spectroscopy combined with chemometric ... Raman features for accurate classification while dealing with complex data sets such as spectra obtained ...

    Abstract The rapid identification of bacterial pathogens in clinical samples like blood, urine, pus, and sputum is the need of the hour. Conventional bacterial identification methods like culturing and nucleic acid-based amplification have limitations like poor sensitivity, high cost, slow turnaround time, etc. Raman spectroscopy, a label-free and noninvasive technique, has overcome these drawbacks by providing rapid biochemical signatures from a single bacterium. Raman spectroscopy combined with chemometric methods has been used effectively to identify pathogens. However, a robust approach is needed to utilize Raman features for accurate classification while dealing with complex data sets such as spectra obtained from clinical isolates, showing high sample-to-sample heterogeneity. In this study, we have used Raman spectroscopy-based identification of pathogens from clinical isolates using a deep transfer learning approach at the single-cell level resolution. We have used the data-augmentation method to increase the volume of spectra needed for deep-learning analysis. Our ResNet model could specifically extract the spectral features of eight different pathogenic bacterial species with a 99.99% classification accuracy. The robustness of our model was validated on a set of blinded data sets, a mix of cultured and noncultured bacterial isolates of various origins and types. Our proposed ResNet model efficiently identified the pathogens from the blinded data set with high accuracy, providing a robust and rapid bacterial identification platform for clinical microbiology.
    MeSH term(s) Spectrum Analysis, Raman/methods ; Bacteria ; Machine Learning ; Nucleic Acids ; Plant Extracts
    Chemical Substances Nucleic Acids ; Plant Extracts
    Language English
    Publishing date 2022-10-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1508-8
    ISSN 1520-6882 ; 0003-2700
    ISSN (online) 1520-6882
    ISSN 0003-2700
    DOI 10.1021/acs.analchem.2c03391
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pharmacological treatment of bipolar disorder in pregnancy: An update on safety considerations.

    Singh, Swarndeep / Deep, Raman

    Indian journal of pharmacology

    2023  Volume 54, Issue 6, Page(s) 443–451

    Abstract: Pregnancy in women with bipolar disorder (BD) can be considered a high-risk pregnancy in view of several clinical and pharmacotherapeutic considerations. Pharmacological treatment during pregnancy requires a careful weighing of psychotropic drug exposure ...

    Abstract Pregnancy in women with bipolar disorder (BD) can be considered a high-risk pregnancy in view of several clinical and pharmacotherapeutic considerations. Pharmacological treatment during pregnancy requires a careful weighing of psychotropic drug exposure against the risk of BD relapse. An untreated bipolar illness can negatively affect the health of mother as well as unborn child in the event of a relapse. Availability of well balanced, latest information on safety of prophylactic drugs for BD is crucial for making informed decisions. The review provides an evidence-based update (2015-2021) on the drug safety considerations involved in providing care for women with BD who are either pregnant or planning to conceive in near future. Literature review based on systematic reviews, meta-analyses, and data available from studies based on large-scale cohorts and birth registries has been synthesized and presented along with clinically relevant recommendations.
    MeSH term(s) Pregnancy ; Humans ; Female ; Bipolar Disorder/drug therapy ; Mothers
    Language English
    Publishing date 2023-01-31
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 605829-2
    ISSN 1998-3751 ; 0253-7613
    ISSN (online) 1998-3751
    ISSN 0253-7613
    DOI 10.4103/ijp.ijp_407_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Screening for lifetime bipolarity in women with perinatal depression: Need for clinical and research attention.

    Singh, Swarndeep / Deep, Raman

    Indian journal of psychiatry

    2022  Volume 64, Issue 2, Page(s) 217–218

    Language English
    Publishing date 2022-03-24
    Publishing country India
    Document type Journal Article
    ZDB-ID 221523-8
    ISSN 0019-5545
    ISSN 0019-5545
    DOI 10.4103/indianjpsychiatry.indianjpsychiatry_1373_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Pattern of Psychiatric Emergencies in Children and Adolescents at a Tertiary Care Centre After Onset of COVID-19 Pandemic.

    Sen, Mahadev Singh / Deep, Raman / Chawla, Nishtha / Sagar, Rajesh / Chadda, Rakesh Kumar

    Indian pediatrics

    2023  Volume 60, Issue 1, Page(s) 127–131

    Abstract: Objectives: To assess changes in profile of psychiatric emergencies in children and adolescents (aged <19 year) during the coronavirus disease 2019 (COVID-19) pandemic compared to pre-pandemic period.: Methods: The psychiatric emergency records were ... ...

    Abstract Objectives: To assess changes in profile of psychiatric emergencies in children and adolescents (aged <19 year) during the coronavirus disease 2019 (COVID-19) pandemic compared to pre-pandemic period.
    Methods: The psychiatric emergency records were analyzed for the period of April, 2019 - September, 2021 to assess the pattern and profile of mental health emergencies in children and adolescents in the period before and after the onset of the pandemic lockdown (i.e., 23 March, 2020).
    Results: 379 consecutive child and adolescent psychiatric emergencies were identified, of which 219 were seen after the onset of pandemic. Commonest reason for referral in the pandemic group was attempted self-harm (44.3%). The ICD-10 neurotic, stress-related and somatoform disorders constituted the commonest diagnostic category, similar to pre-pandemic period. A significantly higher proportion (44% vs 28%) of children was prescribed benzodiazepines in the pandemic period, compared to the pre-pandemic period.
    Conclusion: The average monthly psychiatric emergencies in children and adolescents showed no increase during the pandemic period. Self-harm was the commonest cause of psychiatric referral in emergency services mental health crisis in the younger population.
    MeSH term(s) Humans ; Child ; Adolescent ; COVID-19/epidemiology ; Pandemics ; Tertiary Care Centers ; Emergencies ; Mental Disorders/epidemiology ; Mental Disorders/therapy ; Communicable Disease Control
    Language English
    Publishing date 2023-02-13
    Publishing country India
    Document type Journal Article
    ZDB-ID 402594-5
    ISSN 0974-7559 ; 0019-6061
    ISSN (online) 0974-7559
    ISSN 0019-6061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Relationship of Month-Wise COVID-19 National Statistics to Pediatric Psychiatric Emergencies Presenting at a Tertiary Care Center.

    Sen, Mahadev Singh / Deep, Raman / Chawla, Nishtha / Sagar, Rajesh / Chadda, Rakesh K

    Indian journal of pediatrics

    2022  Volume 89, Issue 9, Page(s) 931

    MeSH term(s) COVID-19/epidemiology ; Child ; Emergencies ; Emergency Service, Hospital ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/epidemiology ; Retrospective Studies ; Tertiary Care Centers
    Language English
    Publishing date 2022-07-12
    Publishing country India
    Document type Letter
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-022-04285-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Substance Use Related Emergencies in a Tertiary Care General Hospital Setting: Observations and Discussion.

    Modak, Tamonud / Singh, Swarndeep / Kumar, Saurabh / Deep, Raman

    Indian journal of psychological medicine

    2019  Volume 41, Issue 6, Page(s) 595–597

    Language English
    Publishing date 2019-11-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2622378-8
    ISSN 0975-1564 ; 0253-7176
    ISSN (online) 0975-1564
    ISSN 0253-7176
    DOI 10.4103/IJPSYM.IJPSYM_410_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: To Evaluate the Association Between Serum Concentration of Vitamin D and Chronic Periodontitis in Non-menopausal Females: A Clinico Biochemical Study.

    Kaur, Jasleen / Kaur, Supreet / Sarangal, Vandana / Singh Narang, Raman Deep / Singh, Sahib Tej / Khindri, Danish

    Current drug safety

    2023  Volume 19, Issue 1, Page(s) 106–113

    Abstract: Background: Periodontal disease's initiation and propagation is through a dysbiosis of the commensal oral microbiota. But recently, through the extraordinary progress, the interrelationship that exists between periodontal disease and systemic health has ...

    Abstract Background: Periodontal disease's initiation and propagation is through a dysbiosis of the commensal oral microbiota. But recently, through the extraordinary progress, the interrelationship that exists between periodontal disease and systemic health has been unveiled. Through various studies, it has been revealed that vitamin D deficiency may be associated with a greater risk of developing chronic periodontitis and vitamin D supplementation may help to preserve periodontal health.
    Aim: To find a co-relation between 25-hydroxy vitamin D status and the severity of periodontal diseases. To evaluate and compare the effect of non-surgical periodontal therapy alone and in combination with vitamin D supplementation in reducing the severity of periodontal diseases.
    Methods: The present study was conducted on 90 non-menopausal female subjects who divided into 3 groups. Group I comprised of healthy controls. Group II comprised of patients with moderate chronic periodontitis who were assigned to receive only Scaling and root planing (SRP). While group III included patients with moderate chronic periodontitis who were assigned to receive SRP along with Vitamin D supplementation. The periodontal parameters and serum levels of 25- hydroxy vitamin D were recorded for all the participants at baseline. Group II and group III participants were reassessed at an interval of 3 months post-treatment.
    Results: The results indicated that vitamin D deficiency affected periodontal health negatively. Statistically highly significant improvement was observed in Group III as compared to group II, signifying the efficacy of vitamin D supplementation adjunctive to SRP.
    Conclusion: Regular evaluation of Vitamin D levels and supplementation to treat the deficiency may have potential periodontal health benefits.
    MeSH term(s) Humans ; Female ; Chronic Periodontitis/therapy ; Periodontal Pocket/therapy ; Follow-Up Studies ; Vitamin D ; Vitamin D Deficiency/diagnosis ; Vitamin D Deficiency/drug therapy ; Vitamin D Deficiency/epidemiology
    Chemical Substances Vitamin D (1406-16-2)
    Language English
    Publishing date 2023-02-27
    Publishing country United Arab Emirates
    Document type Journal Article
    ZDB-ID 2250840-5
    ISSN 2212-3911 ; 1574-8863
    ISSN (online) 2212-3911
    ISSN 1574-8863
    DOI 10.2174/1574886318666230228085220
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pediatric Psychiatric Emergencies at a Tertiary Care Center in India.

    Singh, Swarndeep / Kumar, Saurabh / Deep, Raman

    Indian pediatrics

    2020  Volume 57, Issue 12, Page(s) 1124–1126

    Abstract: Objective: To describe the clinical profile and pattern of pediatric psychiatric emergency referrals at a tertiary-care center in India.: Method: Retrospective chart review of emergency psychiatry records over a 13-month period (January, 2015-January, ...

    Abstract Objective: To describe the clinical profile and pattern of pediatric psychiatric emergency referrals at a tertiary-care center in India.
    Method: Retrospective chart review of emergency psychiatry records over a 13-month period (January, 2015-January, 2016).
    Results: Pediatric psychiatric emergencies (n=65) (mean (SD) age, 14.2 (2.39) y) constituted 10% of all-age psychiatric emergencies. Risk of harm to self and/or others was seen in a third of patients (aggression, 18.5%; self-harm, 16.9%). Common psychiatric diagnoses were dissociative disorder (27.7%), mood disorders (9.3%) and psychotic disorders (7.7%). Compared to adult emergencies attended during same time period, pediatric group had more females (63.1% vs 47.4%; P=0.02), more patients with dissociative disorders (28.7% vs 8.2%; P<0.01) and absence of psychotropic medication prescriptions (36.9% vs 20.6%; P=0.003), while frequency of self-harm and aggression as a reason for presentation was similar to adults.
    Conclusion: The report helps to understand the service needs of younger age group presenting with psychiatric emergencies.
    MeSH term(s) Adolescent ; Adult ; Child ; Emergencies ; Emergency Service, Hospital ; Female ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/epidemiology ; Referral and Consultation ; Retrospective Studies ; Tertiary Care Centers
    Language English
    Publishing date 2020-06-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 402594-5
    ISSN 0974-7559 ; 0019-6061
    ISSN (online) 0974-7559
    ISSN 0019-6061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Audit of requests for disability certification of adults received at a tertiary care general hospital psychiatry unit.

    Sen, Mahadev Singh / Deep, Raman / Nair, Vanaja / Chadda, Rakesh Kumar

    Indian journal of psychiatry

    2021  Volume 63, Issue 5, Page(s) 495–499

    Abstract: Background: Persons with disability (PwD) are entitled to certain benefits from the State on grounds of being disabled. With the recent enactment of the Rights of PwD Act, 2016, and increased efforts to provide assistance to persons with certifiable ... ...

    Abstract Background: Persons with disability (PwD) are entitled to certain benefits from the State on grounds of being disabled. With the recent enactment of the Rights of PwD Act, 2016, and increased efforts to provide assistance to persons with certifiable disabilities, data pertaining to disability requests can be useful to understand the way in which services are utilized.
    Materials and methods: This study is an audit of the disability certificates issued to all subjects with age ≥18 years between 2016 and 2019 at a tertiary care general hospital psychiatry unit, and discusses the pattern and profile of the certificates.
    Results: A total of 356 patients were issued disability certificates (2016-2019). The mean age of the subjects was 32.8 (±11.2) years and about 30% of them were females. Intellectual disability (58.3%) was the most common diagnosis, followed by schizophrenia and related disorders (31%), while all other disorders constituted a smaller proportion (11%) of the sample. About 60% of the subjects had moderate disability, 37.4% had severe disability, and 1.7% had profound disability.
    Conclusion: A large majority of the certificates were issued to subjects with intellectual disability. Patients with severe mental illnesses are probably not accessing the disability benefits optimally. This audit also points to under-representation of women as well as an overall underutilization of services by individuals with mental disability.
    Language English
    Publishing date 2021-10-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 221523-8
    ISSN 0019-5545
    ISSN 0019-5545
    DOI 10.4103/indianjpsychiatry.indianjpsychiatry_1188_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Heme Proteins and Kidney Injury: Beyond Rhabdomyolysis.

    Nath, Karl A / Singh, Raman Deep / Croatt, Anthony J / Adams, Christopher M

    Kidney360

    2022  Volume 3, Issue 11, Page(s) 1969–1979

    Abstract: Heme proteins, the stuff of life, represent an ingenious biologic strategy that capitalizes on the biochemical versatility of heme, and yet is one that avoids the inherent risks to cellular vitality posed by unfettered and promiscuously reactive heme. ... ...

    Abstract Heme proteins, the stuff of life, represent an ingenious biologic strategy that capitalizes on the biochemical versatility of heme, and yet is one that avoids the inherent risks to cellular vitality posed by unfettered and promiscuously reactive heme. Heme proteins, however, may be a double-edged sword because they can damage the kidney in certain settings. Although such injury is often viewed mainly within the context of rhabdomyolysis and the nephrotoxicity of myoglobin, an increasing literature now attests to the fact that involvement of heme proteins in renal injury ranges well beyond the confines of this single disease (and its analog, hemolysis); indeed, through the release of the defining heme motif, destabilization of intracellular heme proteins may be a common pathway for acute kidney injury, in general, and irrespective of the underlying insult. This brief review outlines current understanding regarding processes underlying such heme protein-induced acute kidney injury (AKI) and chronic kidney disease (CKD). Topics covered include, among others, the basis for renal injury after the exposure of the kidney to and its incorporation of myoglobin and hemoglobin; auto-oxidation of myoglobin and hemoglobin; destabilization of heme proteins and the release of heme; heme/iron/oxidant pathways of renal injury; generation of reactive oxygen species and reactive nitrogen species by NOX, iNOS, and myeloperoxidase; and the role of circulating cell-free hemoglobin in AKI and CKD. Also covered are the characteristics of the kidney that render this organ uniquely vulnerable to injury after myolysis and hemolysis, and pathobiologic effects emanating from free, labile heme. Mechanisms that defend against the toxicity of heme proteins are discussed, and the review concludes by outlining the therapeutic strategies that have arisen from current understanding of mechanisms of renal injury caused by heme proteins and how such mechanisms may be interrupted.
    MeSH term(s) Humans ; Myoglobin/adverse effects ; Hemolysis ; Rhabdomyolysis/chemically induced ; Kidney/metabolism ; Acute Kidney Injury/etiology ; Heme/adverse effects ; Hemoglobins/adverse effects ; Renal Insufficiency, Chronic/complications
    Chemical Substances Myoglobin ; Heme (42VZT0U6YR) ; Hemoglobins
    Language English
    Publishing date 2022-10-05
    Publishing country United States
    Document type Review ; Journal Article ; Research Support, N.I.H., Extramural
    ISSN 2641-7650
    ISSN (online) 2641-7650
    DOI 10.34067/KID.0005442022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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