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  1. Article ; Online: Wellbeing and Problematic Smartphone Use: Serial Mediation of Mindfulness and Self-Compassion.

    Uniyal, Ritika / Shahnawaz, Mohammad Ghazi

    Psychological reports

    2022  , Page(s) 332941221141311

    Abstract: The relationship between wellbeing and Problematic Smartphone Use (PSU) has been explored in the past, however, the role of the potential mediators of this association is a relatively neglected area of research. Therefore, the current study examined ... ...

    Abstract The relationship between wellbeing and Problematic Smartphone Use (PSU) has been explored in the past, however, the role of the potential mediators of this association is a relatively neglected area of research. Therefore, the current study examined mindfulness and self-compassion as mediators of the relationship between wellbeing and PSU in 220 university students. WHO-5 Wellbeing Index, Mindful Attention Awareness Scale- State, Self-Compassion Scale- Short form and Smartphone Addiction Scale- Short version were used for assessing wellbeing, mindfulness, self-compassion, and PSU respectively. Wellbeing had a direct and indirect effect on PSU. In addition, results supported a serial mediation model where wellbeing was found to influence PSU via mindfulness and self-compassion in a sequential manner. The results expanded the Compensatory Internet Use Theory (CIUT) to understand PSU and have implications for the management of PSU.
    Language English
    Publishing date 2022-11-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 205658-6
    ISSN 1558-691X ; 0033-2941
    ISSN (online) 1558-691X
    ISSN 0033-2941
    DOI 10.1177/00332941221141311
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  2. Article ; Online: Paroxysmal Hemicrania: An Update.

    Paliwal, Vimal Kumar / Uniyal, Ravi

    Neurology India

    2021  Volume 69, Issue Supplement, Page(s) S135–S143

    Abstract: Paroxysmal Hemicrania (PH) is classified under trigeminal autonomic cephalalgia (TAC) as per the International Classification of Headache Disorders (ICHD). Since the first description by 0ttar Sjaastad and Inge Dale in 1974, PH has been reported by many ... ...

    Abstract Paroxysmal Hemicrania (PH) is classified under trigeminal autonomic cephalalgia (TAC) as per the International Classification of Headache Disorders (ICHD). Since the first description by 0ttar Sjaastad and Inge Dale in 1974, PH has been reported by many authors. A greater understanding of PH phenotype and pathophysiology has resulted in the evolution of its diagnostic criteria, and management. We tabulated major case series of PH to describe the epidemiology, clinical features and recent updates of PH. PH is a rare headache characterized by daily, multiple paroxysms of unilateral, short-lasting (mean duration <20 minutes), side-locked headache in the distribution of ophthalmic division of trigeminal nerve with associated profound cranial autonomic symptoms. Recent ICHD classification added "restlessness" to the criteria for PH. Pain should completely respond to indomethacin to fulfil the diagnostic criteria of PH. PH should be differentiated from cluster headache, SUNCT/SUNA, and other short-lasting side-locked headaches. Trigeminal afferents possibly produce pain in PH and trigeminal-autonomic reflex explains the occurrence of autonomic features. Recently, a "permissive" central role of the hypothalamus is unveiled based on functional imaging studies. Other Cox-2 inhibitors, topiramate, calcium-channel blockers, epicranial nerve blocks have been shown to improve headache in some patients of PH who cannot tolerate indomethacin. Hypothalamic deep brain stimulation has been used in treatment-refractory cases.
    MeSH term(s) Cluster Headache ; Headache ; Headache Disorders ; Humans ; Paroxysmal Hemicrania/diagnosis ; Paroxysmal Hemicrania/drug therapy ; Trigeminal Autonomic Cephalalgias/diagnosis ; Trigeminal Autonomic Cephalalgias/therapy
    Language English
    Publishing date 2021-06-21
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.315982
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  3. Article: Mediating Roles of Fear of Missing Out and Boredom Proneness on Psychological Distress and Social Media Addiction Among Indian Adolescents.

    Malik, Lipika / Shahnawaz, Md Ghazi / Rehman, Usama / Pragyendu / Uniyal, Ritika / Griffiths, Mark D

    Journal of technology in behavioral science

    2023  , Page(s) 1–11

    Abstract: Objective: The closure of schools and other educational institutes around the world has been one of the consequences of the COVID-19 and has resulted in online teaching. To facilitate online teaching, there has been an increase in the use of smartphones ...

    Abstract Objective: The closure of schools and other educational institutes around the world has been one of the consequences of the COVID-19 and has resulted in online teaching. To facilitate online teaching, there has been an increase in the use of smartphones and tablets among adolescents. However, such enhancement in technology use may put many adolescents at the risk of problematic use of social media. Consequently, the present study explored the direct relationship of psychological distress with social media addiction. The relationship between the two was also assessed indirectly via the fear of missing out (FoMO) and boredom proneness.
    Methods: A cross-sectional online survey was conducted with 505 Indian adolescents aged 12 to 17 years, studying in grades 7 to 12. Standardized tools (with some modifications to suit the context of the present study) were used to collect data.
    Results: The results showed significant positive associations between psychological distress, social media addiction, FoMO, and boredom proneness. Psychological distress was found to be a significant predictor of social media addiction. Moreover, FoMO and boredom proneness partially mediated the relationships between psychological distress and social media addiction.
    Discussion: The present study is the first to provide evidence for the specific pathways of FoMO and boredom proneness in the relationships between psychological distress and social media addiction.
    Language English
    Publishing date 2023-06-06
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2366-5963
    ISSN 2366-5963
    DOI 10.1007/s41347-023-00323-4
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  4. Article ; Online: The etiological spectrum of multiple ring-enhancing lesions of the brain: a systematic review of published cases and case series.

    Garg, Ravindra Kumar / Paliwal, Vimal / Pandey, Shweta / Uniyal, Ravi / Agrawal, Kaushal Kishore

    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

    2023  Volume 45, Issue 2, Page(s) 515–523

    Abstract: Objective: Multiple ring-enhancing lesions of the brain are enigmatic neuroimaging abnormality. In this systematic review, we evaluated the etiological spectrum of these lesions.: Methods: This systematic review adhered to the PRISMA guidelines. We ... ...

    Abstract Objective: Multiple ring-enhancing lesions of the brain are enigmatic neuroimaging abnormality. In this systematic review, we evaluated the etiological spectrum of these lesions.
    Methods: This systematic review adhered to the PRISMA guidelines. We searched PubMed, Embase, Scopus, and Google Scholar up until 15 June 2023. We included case reports and case series. Quality evaluation of each case was based on selection, ascertainment, causality, and reporting. The extracted information included demographic characteristics, clinical features, type and number of multiple enhancing brain lesions, diagnostic procedures, final diagnoses, treatments, and patient outcomes.
    Protocol registration: PROSPERO CRD42023437081.
    Results: We analyzed 156 records representing 161 patients, 60 of whom were immunocompromised. The mean age was 42.6 years, and 67% of patients experienced symptoms for up to 1 month. A higher proportion of immunocompromised patients (42% vs. 30%) exhibited encephalopathy. Chest or CT thorax abnormalities were reported in 27.3% of patients, while CSF abnormalities were found in 31.7%, more frequently among the immunocompromised. Definitive diagnoses were established via brain biopsy, aspiration, or autopsy in 60% of cases, and through CSF examination or other ancillary tests in 40% of cases. Immunocompromised patients had a higher incidence of Toxoplasma gondii infection and CNS lymphoma, while immunocompetent patients had a higher incidence of Mycobacterium tuberculosis infection and immune-mediated and demyelinating disorders. The improvement rate was 74% in immunocompetent patients compared to 52% in the immunocompromised group.
    Conclusion: Multiple ring-enhancing lesions of the brain in immunocompromised patients are more frequently caused by Toxoplasma gondii infections and CNS lymphoma. Conversely, among immunocompetent patients, Mycobacterium tuberculosis infection and immune-related demyelinating conditions are common.
    MeSH term(s) Humans ; Adult ; Brain/diagnostic imaging ; Brain/pathology ; Brain Diseases/diagnostic imaging ; Brain Diseases/etiology ; Brain Diseases/pathology ; Lymphoma ; Tuberculosis/pathology
    Language English
    Publishing date 2023-09-28
    Publishing country Italy
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-023-07083-2
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  5. Article: The spectrum of psychiatric manifestations in subacute sclerosing panencephalitis: A systematic review of published case reports and case series.

    Garg, Ravindra K / Kar, Sujita K / Malhotra, Hardeep S / Pandey, Shweta / Jain, Amita / Rizvi, Imran / Uniyal, Ravi / Kumar, Neeraj

    CNS spectrums

    2024  Volume 29, Issue 2, Page(s) 87–95

    Abstract: Data related to psychiatric manifestations in subacute sclerosing panencephalitis (SSPE) is currently available only in the form of isolated case reports. In this systematic review, we evaluated the spectrum of psychiatric manifestations and their impact ...

    Abstract Data related to psychiatric manifestations in subacute sclerosing panencephalitis (SSPE) is currently available only in the form of isolated case reports. In this systematic review, we evaluated the spectrum of psychiatric manifestations and their impact on the course and outcome of SSPE. Data were obtained from 4 databases (PubMed, Embase, Scopus, and Google Scholar), with the most recent search conducted on March 27, 2023. The PRISMA guidelines were followed, and the PROSPERO registration number for the protocol is CRD42023408227. SSPE was diagnosed using Dyken's criteria. Extracted data were recorded in an Excel spreadsheet. To evaluate the quality of the data, the Joanna Briggs Institute Critical Appraisal tool was employed. Our search resulted in 30 published reports of 32 patients. The mean age was 17.9 years. Schizophrenia, catatonia, and poorly characterized psychotic illnesses were the 3 most common psychiatric presentations that were seen in 63% (20/32) of cases. Catatonia was seen in 4 patients. Affective disorders, mania, and depression were reported among 22% (7/32) cases. In approximately 81% (26/32) cases, the course of SSPE was acute fulminant. Treatment with antipsychotic drugs had poor or no response. Out of 17 patients, who received antipsychotic drugs, 6 patients noted severe extrapyramidal adverse effects. SSPE often masquerades as a psychiatric disorder. Unresponsive psychiatric symptoms, early extrapyramidal signs, and progressive encephalopathy indicate SSPE.
    MeSH term(s) Humans ; Adolescent ; Subacute Sclerosing Panencephalitis/complications ; Subacute Sclerosing Panencephalitis/diagnosis ; Measles virus ; Catatonia ; Antipsychotic Agents
    Chemical Substances Antipsychotic Agents
    Language English
    Publishing date 2024-01-29
    Publishing country United States
    Document type Systematic Review ; Case Reports ; Journal Article ; Review
    ZDB-ID 2008418-3
    ISSN 2165-6509 ; 1092-8529
    ISSN (online) 2165-6509
    ISSN 1092-8529
    DOI 10.1017/S1092852924000038
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  6. Article ; Online: Psychiatric comorbidity in new daily persistent headache: A cross-sectional study.

    Uniyal, R / Paliwal, V K / Tripathi, A

    European journal of pain (London, England)

    2017  Volume 21, Issue 6, Page(s) 1031–1038

    Abstract: Background: New daily persistent headache (NDPH) is a type of chronic daily headache. NDPH can have migrainous (NDPH-CM) or tension-type character (NDPH-CTTH). Recently, NDPH patients have shown to have associated anxiety and depression. We compared ... ...

    Abstract Background: New daily persistent headache (NDPH) is a type of chronic daily headache. NDPH can have migrainous (NDPH-CM) or tension-type character (NDPH-CTTH). Recently, NDPH patients have shown to have associated anxiety and depression. We compared anxiety, depressive symptoms, somatization and pain catastrophization among NDPH, healthy controls and patients with chronic low-back pain and between NDPH-CM and NDPH-CTTH.
    Methods: We assessed the study population for depressive symptoms by Patient Health Questionnaire-9, anxiety by Generalized Anxiety Disorder Scale - 7, somatoform disorder using DSM IV (TR) criteria and pain catastrophizing by using Pain Catastrophizing Scale.
    Results: Fifty-five patients each with NDPH (mean age 28.24 ± 12.05 years, 45.5% females) and age/sex matched healthy individuals and patients with chronic low-back pain were enrolled. Among NDPH patients, somatoform disorder was seen in 32.7%, severe anxiety in 65.5%, severe depressive symptoms in 40%, significant pain catastrophization in 85.5%. NDPH patients had significantly higher frequency of all psychiatric co-morbidities as compared to healthy controls and patients with chronic low-back pain. NDPH-CM patients had significantly higher frequency of depression and pain catastrophizing behaviour as compared to NDPH-CTTH.
    Conclusion: Anxiety, depressive symptoms, somatization and pain catastrophizing were significantly more prevalent in NDPH when compared to healthy individuals and patients with chronic low back pain. Such effects should be sought for, as they might contribute to refractoriness to treatment.
    Significance: Anxiety, depressive symptoms, somatization and pain catastrophizing were significantly more prevalent in new daily persistent headache when compared to healthy individuals and patients with chronic low back pain. Such effects should be sought for, as they might contribute to refractoriness to treatment.
    Language English
    Publishing date 2017-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1390424-3
    ISSN 1532-2149 ; 1090-3801
    ISSN (online) 1532-2149
    ISSN 1090-3801
    DOI 10.1002/ejp.1000
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  7. Article ; Online: Silent Hypoxemia in COVID-19: Dangerous, If Gone Undetected.

    Garg, Ravindra K / Uniyal, Ravi / Pandey, Shweta

    Neurology India

    2020  Volume 68, Issue 5, Page(s) 1261–1262

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Hypoxia ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-10-27
    Publishing country India
    Document type Journal Article ; Comment
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.299133
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  8. Article: Accelerated Hypertension and Intracerebral Haemorrhage Following First Dose of ChAdOx1-nCOV-19 Vaccination.

    Pandey, Shweta / Garg, Ravindra K / Malhotra, Hardeep S / Kumar, Neeraj / Uniyal, Ravi

    Annals of Indian Academy of Neurology

    2022  Volume 25, Issue 2, Page(s) 322–323

    Language English
    Publishing date 2022-03-25
    Publishing country India
    Document type Journal Article
    ZDB-ID 2240174-X
    ISSN 1998-3549 ; 0972-2327
    ISSN (online) 1998-3549
    ISSN 0972-2327
    DOI 10.4103/aian.aian_714_21
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  9. Article ; Online: An Unusual Patient with Acute Multiple Cranial Palsy, Tongue Fasciculations, and Proximal Weakness.

    Garg, Ravindra K / Gupta, Sorabh / Rizvi, Imran / Malhotra, Hardeep S / Kumar, Neeraj / Uniyal, Ravi

    Neurology India

    2022  Volume 70, Issue 2, Page(s) 810–811

    MeSH term(s) Fasciculation/etiology ; Humans ; Paralysis/etiology ; Skull ; Tongue
    Language English
    Publishing date 2022-03-11
    Publishing country India
    Document type Letter
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.344674
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  10. Article ; Online: Obstetric outcomes in pregnant women with subacute sclerosing panencephalitis (SSPE): a systematic review of case reports and case series.

    Garg, Ravindra Kumar / Paliwal, Vimal / Rizvi, Imran / Pandey, Shweta / Uniyal, Ravi / Agrawal, Smriti / Khanna, Richa

    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

    2023  Volume 44, Issue 6, Page(s) 1959–1968

    Abstract: Background: Subacute sclerosing panencephalitis (SSPE) is a devastating brain disease caused by persistent infection by the measles virus. Several cases of SSPE in pregnant ladies have been described. This systematic review is focused on maternal and ... ...

    Abstract Background: Subacute sclerosing panencephalitis (SSPE) is a devastating brain disease caused by persistent infection by the measles virus. Several cases of SSPE in pregnant ladies have been described. This systematic review is focused on maternal and foetal outcomes among pregnant women with SSPE.
    Methods: We searched four databases (PubMed, Embase, Scopus, and Google Scholar). We reviewed all relevant cases, published until 14 August 2022. The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol was registered with PROSPERO (CRD42022348630). The search items that we used were "((Pregnancy) OR (delivery)) AND (Subacute sclerosing panencephalitis (SSPE))". Dyken's criteria were used for the diagnosis of SSPE in pregnant women. The extracted data was recorded in an Excel sheet. The Joanna Briggs Institute Critical Appraisal tool for case reports was used to assess the quality of published cases.
    Results: We came across 19 reports describing details of 21 cases. The age of SSPE-affected women varied from 14 to 34 years (mean 23 years). In the majority (n=14), clinical manifestations were started in the antepartum period. Nine pregnant SSPE women presented with vision loss. After delivery, 13 SSPE-affected women died. On the contrary, 15 foetuses, though the majority were preterm, were alive. Five foetuses either died soon after birth or were still-born.
    Conclusion: In conclusion, SSPE in pregnancy is often missed, as it mimics eclampsia. SSPE in pregnancy usually has a devastating course. Universal early childhood measles vaccination is the only way to fight this menace.
    MeSH term(s) Infant, Newborn ; Female ; Humans ; Child, Preschool ; Pregnancy ; Adolescent ; Young Adult ; Adult ; Subacute Sclerosing Panencephalitis/diagnosis ; Subacute Sclerosing Panencephalitis/etiology ; Pregnant Women ; Measles virus ; Vision Disorders ; Family ; Measles/complications
    Language English
    Publishing date 2023-02-02
    Publishing country Italy
    Document type Systematic Review ; Case Reports ; Journal Article ; Review
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-023-06650-x
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