Browsing by Author "Deepa Pandey"

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A prospective pilot study on serum cleaved tau protein as a neurological marker in severe traumatic brain injury
(Taylor and Francis Ltd, 2017) Sharad Pandey; Kulwant Singh; Vivek Sharma; Deepa Pandey; Ravi Prakash Jha; Sunil Kumar Rai; Richa Singh Chauhan; Royana Singh
Objective: Neurotrauma has been labelled as a “silent epidemic” affecting both the developed and the developing nations. To date, no single brain-specific biomarker has been unanimously accepted for routine clinical use in TBI. Our study aims to determine the correlation of “cleaved-tau protein” in severe traumatic brain injury (TBI) with Glasgow Coma Scale (GCS) at the time of admission, mode of injury, CT findings and outcome at discharge. Methods: The study has been approved by the institutional ethical committee. 40 cases with severe TBI and 40 randomly selected healthy controls were included in this prospective study. Venous blood samples were collected and serum cleaved tau protein levels were measured and correlated with gender, mode of injury, CT findings GCS score and GOS score at discharge. Results: In the severe TBI group, the mean serum cleaved tau protein levels in males were 91.65 ± 41.34 pg/ml (mean ± S.D.), and females were 104.43 ± 53.08 pg/ml (mean ± S.D.), (p = 0.27). Mean serum C-tau level in study group was 95.48 ± 44.87 pg/ml (range 36.44-192.34), 95% C.I. (81.13–109.83) and in controls was 33.82 ± 13.65 pg/ml (range 2.48–66.54), 95% C.I. (29.46–38.19) (p < 0.001). The distribution of serum C-tau was in severe TBI group varied in all categories of GCS at 0th day (p < 0.001). Serum cleaved tau protein levels in the good outcome group were 74.26 ± 25.43 pg/ml (mean ± S.D.), range 36.44–144.54, 95% C.I. (63.52-85.00) and the poor-outcome group were 127.32 ± 49.40 pg/ml, range 66.65–192.34, 95% C.I. (100.99-153.64) (p = 0.001). Conclusion: In severe TBI, serum cleaved tau protein levels were significantly higher as compared to the controls in this prospective study. However, results of this study are preliminary in nature and there is a need to undertake larger prospective studies to reach a definitive conclusion. © 2017 The Neurosurgical Foundation.
Bilateral Traumatic Intracranial Hematomas and its Outcome: a Retrospective Study
(Springer India, 2017) Sharad Pandey; Vivek Sharma; Kulwant Singh; Deepa Pandey; Mukesh Sharma; Deepak Bhanudas Patil; Neeraj Shende; Richa Singh Chauhan
The objective of this study was to evaluate the age distribution, mode of injury, type of hematomas, and their surgical outcome in patients with bilateral traumatic head injuries. The present study included 669 cases of traumatic head injury who presented at the neurosurgery emergency out of which 94 cases had bilateral head injuries from the period of August 2009 to April 2014. The data from the hospital computerized database were retrospectively analysed. Cases of bilateral traumatic head injury included 94 patients out of which 88.29 % (n = 83) were males and 11.70 % (n = 11) were females. Commonest mode of injury was road traffic accident in 56.38 % (n = 53) followed by fall from height in 29.78 % (n = 28). In our study, 25.53 % patients had epidural hematoma (EDH) with intracerebral hematoma (ICH) or contusion (n = 24), followed by EDH with subarachnoid hemorrhage (SAH) in 18.08 % (n = 17). At the time of discharge, all those patients managed conservatively had good Glasgow outcome scale (GOS) while with surgical intervention 58 % patients had good GOS, 19 % had moderate disability, and 9 % remained with severe disability. In cases of bilateral hematomas, EDH is most common and should be managed in neurosurgical emergency. Other combinations of bilateral intracranial hematomas should be managed according to the surgical indication and serial CT imaging. © 2015, Association of Surgeons of India.
Cerebral intraventricular echinococcosis in an adult
(Medknow Publications, 2015) Sharad Pandey; Deepa Pandey; Neeraj Shende; Anurag Sahu; Vivek Sharma
Background: Echinococcosis in humans occurs as a result of infection by the larval stages of taeniid cestodes of the genus echinococcus. Intracranial hydatid cysts usually develop at an intraparenchymal site. Hydatid cyst within the cerebral ventricle is quite unusual. Methods: We reviewed the literature on adult intraventricular hydatid cyst and found case reports mainly in children with an only handful of cases in adults. We reported a rare case of cerebral intraventricular (left lateral ventricle) hydatid cyst in a 21-year-old adult female. Results: Although cerebral hydatid cysts are most commonly seen in children and young adults cerebral intraventricular hydatid cyst are comparatively rarer in adults. Conclusion : The possibility of infection with Echinococcus granulosus should be included in the differential diagnosis of raised intracranial hypertension in patients from endemic areas. © 2015 Pandey S.
Chromatic acclimation in cyanobacteria renders robust photosynthesis and fitness in dynamic light environment: Recent advances and future perspectives
(John Wiley and Sons Inc, 2024) Soumila Mondal; Deepa Pandey; Shailendra P. Singh
Cyanobacteria are photoautotrophic organisms that use light and water as a source of energy and electrons, respectively, to fix atmospheric carbon dioxide and release oxygen as a by-product during photosynthesis. However, photosynthesis and fitness of organisms are challenged by seasonal and diurnal fluctuations in light environments. Also, the distribution of cyanobacteria in a water column is subject to changes in the light regime. The quality and quantity of light change significantly in low and bright light environments that either limit photochemistry or result in photoinhibition due to an excess amount of light reaching reaction centers. Therefore, cyanobacteria have to adjust their light-harvesting machinery and cell morphology for the optimal harvesting of light. This adjustment of light-harvesting involves remodeling of the light-harvesting complex called phycobilisome or incorporation of chlorophyll molecules such as chlorophyll d and f into their light-harvesting machinery. Thus, photoacclimation responses of cyanobacteria at the level of pigment composition and cell morphology maximize their photosynthetic ability and fitness under a dynamic light environment. Cyanobacteria exhibit different types of photoacclimation responses that are commonly known as chromatic acclimation (CA). In this work, we discuss different types of CA reported in cyanobacteria and present a molecular mechanism of well-known type 3 CA where phycoerythrin and phycocyanin of phycobilisome changes according to light signals. We also include other aspects of type 3 CA that have been recently studied at a molecular level and highlight the importance of morphogenes, cytoskeleton, and carboxysome proteins. In summary, CA gives a unique competitive benefit to cyanobacteria by increasing their resource utilization ability and fitness. © 2024 Scandinavian Plant Physiology Society.
Cyanobacterial green chemistry: a blue-green approach for a sustainable environment, energy, and chemical production
(Royal Society of Chemistry, 2025) Priyul Pandey; Deepa Pandey; Anjali Gupta; Rinkesh Gupta; Sapna Tiwari; Shailendra P. Singh
Increased human activity due to the ever-increasing global population has necessitated the urgent need for a sustainable environment, food, and energy. Cyanobacteria, classically known as blue-green algae, are oxygen-producing photosynthetic organisms that are emerging as an option to achieve sustainable development goals. These Gram-negative prokaryotes can efficiently sequester atmospheric CO2 due to an efficient carbon concentrating mechanism and divert it to the production of energy-rich compounds, i.e., biofuel, and other valuable chemicals, using their flexible metabolic chassis. Additionally, cyanobacteria also minimize the emission of methane, which is another greenhouse gas, by providing oxygen to methane-oxidizing bacteria. In recent years, several genetically engineered strains of cyanobacteria have been developed that can produce biofuels and several other valuable chemicals. Strains have also been engineered for bioplastic production and bioremediation purposes. These organisms have gained attention as biofertilizers and can increase the quality and fertility of soil. Thus, cyanobacteria are promising CO2 sinks that can contribute to global efforts in carbon capture and storage initiatives while producing bioenergy, cosmetics, pharmaceuticals, and several other valuable chemicals. Therefore, these blue-green cells can be used for green chemistry while minimizing the atmospheric CO2 concentration. In this review, we present various applications of cyanobacterial biomass to achieve sustainable development goals. We also discuss challenges associated with the wide application of cyanobacteria and the future direction to make full use of these robust organisms to fulfill our future demands in an environment-friendly manner. © 2025 The Author(s)
Photoacclimation strategies in cyanobacterial photosynthesis under dynamic light environments: implications in growth, fitness, and biotechnological applications
(Frontiers Media SA, 2025) Sapna Tiwari; Anjali Gupta; Deepa Pandey; Priyul Pandey; Rinkesh Gupta; Shailendra P. Singh
Cyanobacteria, ancient oxygenic photoautotrophs originated in the Precambrian period, exhibit remarkable adaptability to diverse ecological systems. Light, a critical environmental factor, exerts differential pressures on these organisms. The scattering of white light creates dynamic light environments, which poses a significant ecological challenge. To thrive in dynamic light environment, cyanobacteria have developed several light acclimation strategies. This includes chromatic acclimation, which optimize light harvesting by adjusting pigments. Cyanobacteria also employ robust photoprotective mechanisms against quantitative light stress. Under high light, these organisms activate non-photochemical quenching using the proteins such as orange carotenoid protein, iron starvation-induced protein, and high light-induced proteins to safely dissipate excess excitation energy. Additionally, thylakoid-localized respiratory enzymes alleviate electronic pressure arising from over-reduction of the plastoquinone pool. Under low light conditions, cyanobacteria frequently employ state transitions, reversibly associating their phycobilisomes with PSII and PSI to optimize light harvesting. These natural strategies offer a blueprint for engineering cyanobacteria and algae for their application in biomanufacturing and CO2 sequestration. This review synthesizes the key light acclimation and photoprotective mechanisms, underscoring their importance for both the ecological success of cyanobacteria and their implication in biotechnological applications using engineered strains. © © 2025 Tiwari, Gupta, Pandey, Pandey, Gupta and Singh.
Pituitary Tuberculoma: An Uncommon Pathology
(Georg Thieme Verlag, 2021) Praveen Kumar Gupta; Sharad Pandey; Deepa Pandey
Pituitary tuberculomas are extremely rare with only few cases reported in the literature. Intracranial tuberculoma commonly presents with gradual onset of headache and visual disturbances with or without systemic symptoms. We reported such a case who presented with headache without any visual symptoms, occasional vomiting, and significant weight loss. Contrast magnetic resonance imaging scan was suggestive of pituitary macroadenoma. Transnasal transsphenoidal excision of the lesion (microscopic + endoscopic) was done. Histopathological examination revealed possibility of tuberculosis. Patient was put on standard antituberculosis treatment and discharged in a stable condition. © 2021 Georg Thieme. All rights reserved.