Browsing by Author "Balakrishnan, Divya"

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    Faecal bifidobacteria in Indian neonates & the effect of asymptomatic rotavirus infection during the first month of life.
    (2010-12) Balamurugan, Ramadass; Magne, Fabien; Balakrishnan, Divya; Suau, Antonia; Ramani, Sasirekha; Kang, Gagandeep; Ramakrishna, Balakrishnan S
    Background & Objectives: Bifidobacteria colonize the gut after the first week of life and remain an important component of the gut microbiota in infancy. This study was carried out to characterize the diversity and number of bifidobacteria colonizing the gut in Indian neonates and to investigate whether asymptomatic infection with rotavirus in the first month of life affected gut colonization by bidifobacteria. Methods: DNA was isolated from faeces of 14 term-born neonates who were under surveillance for rotavirus infection. Bacterial and bifidobacterial diversity was evaluated by temporal temperature gradient electrophoresis (TTGE) of 16S rDNA amplified using total bacteria and bifidobacteria-specific primers. Real time PCR, targeting 16S rDNA, was used to quantitate faecal bifidobacteria and enterobacteria. Results: TTGE of conserved bacterial 16S rDNA showed 3 dominant bands of which Escherichia coli (family Enterobacteriaceae) and Bifidobacterium (family Bifidobacteriaceae) were constant. TTGE of Bifidobacterium genus-specific DNA showed a single band in all neonates identified by sequencing as Bifidobacterium longum subsp. infantis. Faecal bifidobacterial counts (log10 cfu/g faeces) ranged from 6.1 to 9.3 and enterobacterial counts from 6.3 to 9.5. Neonates without and with rotavirus infection in the first week of life did not show significant differences in the median count of bifidobacteria (log10 count 7.48 vs. 7.41) or enterobacteria (log10 count 8.79 vs. 7.92). Interpretation & Conclusions: B. longum subsp. infantis was the sole bifidobacterial species colonizing the gut of Indian neonates. Asymptomatic rotavirus infection in the first month of life was not associated with alteration in faecal bifidobacteria or enterobacteria.
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    G×E analysis to Identify the Stable High-yielding Rice Lines among a Set of Selected Germplasm Panel
    (Ms. M. B. Mondal, 2023-07) R., Padmashree; Reddy, Vishal; Barbadikar, Kalyani, M.; M., Honnappa; Magar, Nakul D.; Balakrishnan, Divya; Gireesh, C.; Siddaiah, Anantha M.; Badri, Jyothi; Lokesha, R.; Ramesha, Y. M.; Senguttuvel, P.; Diwan, J. R.; Madhav, Maganti, Sheshu; Sundaram, R. M.
    Rice lines need to be grown and evaluated for yield under different agro-ecological locations to identify stable and high-yielding lines for deployment in breeding programs. With this aim, a set of rice germplasm was evaluated for G×E in four different environments (E1-Dadesuguru-Wet 2020, E2-ICAR–IIRR-Dry 2019, E3-ICAR–IIRR-Wet 2020, E4-ICAR–IIRR-Dry 2020). The experimental trial was laid out in a randomized complete block (RCB) design with three replications at each location for 118 rice lines. Data on yield per plant was analyzed using the Additive Main Effect and Multiplicative Interaction (AMMI) and Genotype, and Genotype × Environment Interaction (GGE) models. The combined analysis of variance (ANOVA) manifested significant variations for tested genotypes, locations, years, genotype × year, and genotype × location interactions revealing the influence of environmental factors on yield traits. All four environments showed discrimination power, whereas E2 and E3 were found as the representative environment as they fall near the Average-Environment axis (AEA). The AMMI biplot PC1 contributed 79.20% variability and PC2 contributed 15.18% variability. From the GGE biplot analysis, the rice lines Phouren, JBB-631-1, and JBB-1325 were found to be the best and most stable. The rice lines Phouren, PUP-229, and TI-112 were stable in the first sub-group Dhadesugur-Wet 2020 (E1). The rice lines Langphou, and NPK-45 were stable in the second sub-group ICAR-IIRR-Wet 2020 (E3). Environment ICAR-IIRR-Dry 2019 (E2) was the third subgroup and the rice lines Moirangphou-Yenthik and TI-3 topped for the same. The ICAR IIRR-Dry 2020 (E4) environment formed the fourth subgroup where Phouren-Amubi, TI-128 and JBB-1325 topped the season. In conclusion, this study revealed that G × E interactions are significant for yield variation, and its AMMI and biplots analysis are efficient tools for visualizing the response of genotypes to different locations.
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    Impact of the day-30 screening strategy on the disease presentation and outcome of retinopathy of prematurity. The Indian twin cities retinopathy of prematurity report number 3.
    (2014-05) Jalali, Subhadra; Anand, Raj; Rani, Padmaja Kumari; Balakrishnan, Divya
    Context: Outcomes of various screening strategies in retinopathy of prematurity are not well reported. Aim: To assess the impact of a city-wide, ROP screening strategy, on the disease presentation and treatment outcome. Materials and Methods: A retrospective case-control study from a prospectively collected ROP data-base was analyzed. Cases (group 1a) included ROP babies that were screened directly in neonatal intensive care units, and controls (group 1b) were babies referred directly to the institute from other neonatal centers during the same period. Historical controls (group 2) were ROP cases seen in the years preceding establishment of this ROP program and database. Primary outcome measure was the risk of eyes presenting with stage 4 or worse ROP, and main secondary outcome measure was the fi nal anatomic outcome. Results: Of the 643 cases screened, 322 eyes of 161 babies had ROP. The median age of 7.19 months at presentation for the 46 patients (92 eyes) in group 2 was higher than the median age of 1.29 months for the 115 patients (230 eyes) in group 1. Within the group 1, group 1a had lower median age at presentation than group 1b (0.91 months versus 2.30 months). The relative risk of an eye presenting in the stage 4 and 5 in group 2 was 4.7 times higher (95% confi dence interval 3.07 - 7.32) than in group 1. Eyes that could be given treatment in group 2 were signifi cantly less (P < 0.0005) than in group 1. The relative risk of poor outcome in group 2 was 3.83 times higher (95% confi dence interval 2.75 - 5.34) than in group 1. Group 1a eyes had the best outcomes. Conclusion: Early screening before one month of age in neonatal centers detects the disease early where prompt treatment can lead to favorable outcomes. The study provides early results of a model strategy for ROP screening.
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    Outcomes of lensectomy with glued intraocular lens and factors associated with failure in eyes with spherophakia and glaucoma
    (All India Ophthalmological Society, 2023-06) Burugupally, Keerthi; Senthil, Sirisha; Parameshwarappa, Deepika C; Ali, Hasnat; Balakrishnan, Divya; Garudadri, Chandrasekhar
    Purpose: To evaluate the outcomes of lensectomy with a glued intraocular lens (IOL) in spherophakic eyes with secondary glaucoma and assess factors associated with failure. Methods: We prospectively evaluated outcomes of lensectomy with glued IOL in 19 eyes with spherophakia and secondary glaucoma (intraocular pressure (IOP) ?22 mm Hg and/or glaucomatous optic disc damage) between 2016 and 2018. The vision, refractive error, IOP, antiglaucoma medications (AGMs), optic disc changes, need for glaucoma surgery, and complications were assessed. Success was defined as complete when IOP was ?5 and ?21 mmHg without AGMs; qualified success as similar IOP with up to 3 AGM; the need for >3AGM/additional surgery for IOP control was considered a failure. Results: Preoperatively, the median (interquartile range: IQR) age was 18 (13.5–30) years. IOP was 16 (14–22.5) mmHg on a median of 3 (2,3) AGMs. Median postoperative follow up was 27.7 months (11.9, 39.7). Postsurgery, most patients achieved emmetropia, with significantly decreased refractive error from a median spherical equivalent of ?12.5D to + 0.5D, P < 0.0002. The complete success probability was 47% (95% confidence intervals (CIs): 29–76%) at 3 months and was 21% (8 ? 50%) at 1 year and 3 years. The qualified success probability was 93% (82–100%) at 1 year, which reduced to 79% (60–100%) in 3 years. None of the eyes had any retinal complications. The higher number of preoperative AGM was found to be a significant risk factor (p < 0.02) for the failure of complete success. Conclusion: One?third of the eyes had IOP control without the need for AGM postlensectomy with glued IOL. Surgery resulted in significant improvement in visual acuity. The higher number of preoperative AGM was associated with poor glaucoma control after glued IOL surgery