Mahalaqua Nazli Khatib’s research while affiliated with Datta Meghe Institute of Medical Sciences and other places

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Publications (213)


Fig. 1 PRISMA flowchart showing the selection process of included studies
Fig. 3 Sensitivity analysis plot illustrating vascular complications in EDS
Prevalence of vascular complications in Ehlers-Danlos syndrome: a systematic review and meta-analysis
  • Literature Review
  • Full-text available

June 2025

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4 Reads

Orphanet Journal of Rare Diseases

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Ambana Yappalparvi

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Mahalaqua Nazli Khatib

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[...]

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Background Ehlers-Danlos Syndrome (EDS) comprises connective tissue disorders associated with increased vascular complication risks. This meta-analysis assesses the prevalence of vascular complications in among patients with EDS. Methods The review was conducted following PRISMA guidelines. A comprehensive literature search was conducted in PubMed, Embase, and Web of Science until November 2024. Observational studies reporting vascular complications in EDS were included. Data extraction included demographics, complication types, and study design, and quality assessment was evaluated using the modified Newcastle-Ottawa Scale (NOS). Random-effects models and I² statistics assessed heterogeneity, while Doi plots evaluated publication bias. Results Of the 1,772 articles screened, 12 met the inclusion criteria, reporting various vascular complications in EDS. The overall pooled prevalence of vascular complications was 30.03% (95% CI: 15.00–51.07%). The prevalence for the vEDS subtype was 42.36% (95% CI: 12.63–78.88%), for unspecified EDS was 18.65% (95% CI: 5.38–48.03%), and for hEDS was 19.77% (95% CI: 15.09–25.16%). Sensitivity analyses confirmed the stability of the pooled prevalence estimates, and DOI plots indicated minimal publication bias. Conclusions This review highlights the high risk of vascular complications in vEDS, with moderate involvement in other EDS subtypes. Regular vascular monitoring, especially in vEDS, is crucial for early detection and intervention. Standardized diagnostic protocols and further research into genetic factors are needed to improve management strategies.

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PRISMA flow diagram depicting the study selection process
Meta-analysis of EDs prevalence in aquatic athletes
Doi Plot depicting the publication bias
Leave-one-out sensitivity analysis
Prevalence of eating disorders in aquatic athletes: a systematic review and meta-analysis

Annals of General Psychiatry

Background Aquatic athletes may face unique pressures related to body aesthetics and weight management, potentially increasing their risk of eating disorders (EDs). This systematic review and meta-analysis aimed to estimate the prevalence of EDs in aquatic athletes and assess the quality of the available evidence. Methods A systematic search was conducted in PubMed, Embase, and Web of Science for studies published in English that reported on the prevalence of EDs among aquatic athletes. After screening and eligibility assessments, eight studies met the inclusion criteria, comprising a total of 715 athletes from various countries, including Poland, Canada, Brazil, Norway, the United States, and the United Kingdom. Quality assessment was performed using an adapted Newcastle-Ottawa Scale (NOS), and a random-effects meta-analysis was conducted to estimate pooled prevalence. Sensitivity analysis and a Doi plot were utilized to evaluate the publication bias. Results The meta-analysis estimated a pooled prevalence of EDs in aquatic athletes at 27.56% (95% CI: 14.27–46.50%), with a heterogeneity (I²) of 76%, indicating substantial variability in study designs and participant characteristics. Sensitivity analysis confirmed the robustness of the findings, and the Doi plot indicated significant asymmetry (LFK index = -3.44), suggesting potential publication bias or variability across studies. Conclusion This study revealed a high prevalence of EDs among aquatic athletes. Further research is required on the factors associated with these disorders. Standardized assessment tools and routine screening in aquatic sports settings are recommended to promote early detection and prevention of EDs, ultimately enhancing athlete well-being and performance.



Editorial: Achieving impacts at scale in early childhood interventions: innovations in monitoring, evaluation, and learning

Supplementary Information. Characterising Acute and Chronic Care Needs: Insights from the Global Burden of Disease Study 2019

May 2025

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101 Reads

This is the supplementary information for the paper "Characterising Acute and Chronic Care Needs: Insights from the Global Burden of Disease Study 2019" published in Nature Communications. The document provides complementary study results, presented as supplementary figures and tables. The list of contributors is also included.



Fig. 1 | Number and percentage of DALYs, YLDs, and YLLs attributed to acute and chronic care conditions. Left figures show number and right figures show percentage of global (a, b) disability-adjusted life years (DALYs), (c, d) years lived with disability (YLDs), and (e, f) years of live lost (YLLs) according to the care needs classification (i.e.: acute [green], chronic [blue], and undetermined [yellow]) by age group.
Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019

May 2025

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1,250 Reads

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2 Citations

Nature Communications

Chronic care manages long-term, progressive conditions, while acute care addresses short-term conditions. Chronic conditions increasingly strain health systems, which are often unprepared for these demands. This study examines the burden of conditions requiring acute versus chronic care, including sequelae. Conditions and sequelae from the Global Burden of Diseases Study 2019 were classified into acute or chronic care categories. Data were analysed by age, sex, and socio-demographic index, presenting total numbers and contributions to burden metrics such as Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLD), and Years of Life Lost (YLL). Approximately 68% of DALYs were attributed to chronic care, while 27% were due to acute care. Chronic care needs increased with age, representing 86% of YLDs and 71% of YLLs, and accounting for 93% of YLDs from sequelae. These findings highlight that chronic care needs far exceed acute care needs globally, necessitating health systems to adapt accordingly.


Burden of inguinal, femoral, and abdominal hernias in India: A systematic analysis of prevalence, incidence, mortality, and DALYs from global burden of disease study 1990–2021 with projections to 2031

Hernia

Background Hernias are a major health concern in India, with varying incidence and prevalence influenced by socio-demographic factors. Despite global advances in hernia management, regional disparities are evident within India. Method This analysis utilized data from the Global Burden of Disease (GBD) Study 2021 to examine inguinal, femoral, and abdominal hernias across India from 1990 to 2021, categorized by ICD-10 codes. Key metrics analyzed included prevalence, incidence, mortality, and Disability-Adjusted Life Years (DALYs), with age-standardized rates (ASRs). The Estimated Annual Percentage Change (EAPC) for incidence and mortality, Spearman correlation for assessing the relationship between Socio-Demographic Index (SDI) and hernia metrics, and ARIMA models for future trend projections were employed. Result Between 1990 and 2021, the age-standardized incidence rate (ASIR) of hernias in India decreased from 143.85 to 137.05 per 100,000, a reduction of 4.72%, despite a 46% increase in the absolute number of hernia cases due to population growth. Mortality rates significantly declined by 57.05%. DALYs also decreased from 98.01 to 43.51 per 100,000. Projections for 2031 indicate stabilization of incidence rates and an increase in prevalence. Conclusions Significant improvements in hernia management in India have been achieved over three decades, driven by advances in healthcare and socio-demographic progress. However, the rising number of cases and expected increase in prevalence highlight the need for enhanced healthcare strategies and resource allocation to manage the hernia burden effectively.




Citations (39)


... From a public health perspective, the PNS 2019 results revealed the urgent need for a fundamental paradigm shift in public health policies, health care systems, research funding priorities, and resource allocation, all of which should emphasize primary and secondary prevention through lifestyle medicine. 47 Despite achieving some goals of the previous Brazilian Ministry of Health's Strategic Action Plan for Coping with Chronic Diseases, such as reducing smoking, 48 and increasing LTPA levels, 49 it is evident that there are still multifaceted and broader health challenges that require comprehensive attention. For example, despite a general increase in physical activity among the Brazilian population over the years, only 3.7% of the elderly meet international recommendations for muscle-strengthening activities. ...

Reference:

The 6 Pillars of Lifestyle Medicine and Prevalence of Cardiovascular and Cardiometabolic Diseases in Brazil: A Cross-Sectional, Population-Based Study Involving 88,531 Adults
Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019

Nature Communications

... Hypertension is a prevalent chronic disease worldwide, with a steadily increasing incidence [1]. Approximately 1.28 billion adults aged 30-79 worldwide are estimated to have hypertension, with more than two-thirds residing in low-and middle-income countries [2]. Nearly half of these individuals are unaware of their condition, and approximately 40% of the hypertension cases remain undiagnosed and untreated [2]. ...

Association of exposure to violence and risk of hypertension: Systematic review and meta-analysis
  • Citing Article
  • April 2025

Public Health

... However, traditional COPD research has mostly focused on older populations, particularly in high-income countries. Compared to existing GBD 2021 studies [16,[33][34][35], this research focuses on the burden of COPD among young populations across varying socioeconomic levels and introduces novel analyses of health inequality and Frontier Analysis to assess disparities and achievable improvements in disease burden.We find that the burden of disease in these areas is decreasing at a much slower rate than in middlehigh SDI regions, and in some areas, it remains significantly high. Moreover, the analysis of health inequality reveals both absolute and relative inequities across socio-economic development levels. ...

Burden and regional disparities of chronic obstructive pulmonary disease in India: Insights from the global burden of disease data and projections for future incidence
  • Citing Article
  • February 2025

... These classifications emphasize variations in frequency, duration, and symptomatology of the attacks. The pathophysiology of migraine is characterized by the activation of the trigeminovascular system, which triggers neurogenic inflammation, cortical spreading depression, and changes in cerebral blood flow, contributing to the typical migraine symptoms [7,8]. Despite its well-understood clinical features and pathophysiological mechanisms, the precise triggers of migraine remain highly individualized, with pharmacological agents increasingly recognized as potential contributors to the onset or exacerbation of attacks. ...

The Bidirectional Relationship Between Iron Deficiency Anemia and Chronic Headache Disorders: A Systematic Review and Meta-Analysis

... Similarly to the effects of cigarettes, smoking cannabis aggravates inflammation in the lung, expressed by the elevated number of neutrophils and macrophages, with their functional impairment [111,113,114]. Additionally, cannabis smoke, like tobacco smoke, is believed to worsen respiratory symptoms, such as cough, wheezing, and dyspnea [111,[115][116][117][118]. It increases the risk of airway obstruction and exacerbation of lung diseases; however, the evaluation is difficult to untangle due to the common concurrent use of tobacco [65,116,[119][120][121]. ...

Cannabis consumption and risk of asthma: a systematic review and meta-analysis

BMC Pulmonary Medicine

... Risk factors for hypertensive disorders of pregnancy include family history of hypertension and diabetes, previous diagnosis of hypertension before pregnancy (the risk of occurrence of gestational hypertension and preeclampsia increased with the presence of elevated BP and stage 1 hypertension) [15], previous history of preeclampsia in pregnancy, being overweight, unhealthy eating and alcohol consumption [16], female history of polycystic ovarian syndrome [17], higher plasmic values of hormone TT3 [18], and higher sex hormone-binding globulin values (a potential biomarker for pregnancy complications) [19]. It was also found that specific ophthalmic Doppler parameters are associated with the risk of preeclampsia, as preeclamptic women exhibited differences in three out of six measured values compared to normotensive women. ...

Association Between SHBG Levels and Hypertensive Disorders of Pregnancy: A Systematic Review and Meta‐Analysis

... Asthma signifcantly burdens global health, with the World Health Organization (WHO) reporting that 3%-5% of adults and 7%-10% of children are afected [1,4]. Te WHO predicts that the number of people with asthma will rise from 100 to 150 million to over 200 million by 2025, with 180,000 new cases annually [4,5]. Asthma is characterized by airway infammation, heightened sensitivity, and obstructed airfow, which challenges healthcare systems and signifcantly impacts patients' quality of life [6]. ...

Patterns and trends in burden of asthma and its attributable risk factors from 1990 to 2021 among South Asian countries: a systematic analysis for the Global Burden of Disease Study 2021
  • Citing Article
  • January 2025

... Hospital robots operating with AI technology conducted disinfection duties, supply operations, and symptomatic patient checks that preserved human staff from contact during the COVID-19 pandemic. The UVD Robot is an autonomous machine that accomplishes hospital surface disinfection with AI control of ultraviolet light technology [9]. TUG from Aethon and other AI robots provide medical equipment transport and unstable terrain navigation in disaster zones to keep healthcare access active during dangerous circumstances. ...

The Impact of Artificial Intelligence on Healthcare: A Comprehensive Review of Advancements in Diagnostics, Treatment, and Operational Efficiency

... Viral infections, such as HIV [141], dengue viral infection [142], Japanese encephalitis [143], measles [144], and COVID-19 [145], have been linked to movement abnormalities like chorea [146], dystonia [147], myoclonus, cranial [148], and parkinsonism due to direct neurotropism and immune-mediated damage [149]. Bacterial infections, including syphilis [150,151], tuberculosis [152], Lyme disease [153], mucormycozis [154], Bartonella henselae [155], may lead to tremors [156], chorea, parkinsonism-plus syndromes [157], and ataxia when the nervous system is involved; also, Jarisch-Herxheimer reaction [158] is an acute inflammatory response that can occur after initiating antibiotic treatment for syphilis [159]. Post-infectious autoimmune syndromes, such as Sydenham's chorea following Group A streptococcal infection [160], result from molecular mimicry and basal ganglia dysfunction, causing hyperkinetic movements. ...

Lyme Disease Associated Neurological and Musculoskeletal Symptoms: A Systematic Review and Meta-Analysis
  • Citing Article
  • February 2025

Brain Behavior & Immunity - Health

... In this context, there is a growing interest in identifying reliable, accessible, and cost-effective biomarkers to predict adverse clinical outcomes at an early stage, especially in mechanically ventilated patients. Among the numerous laboratory parameters routinely used in ICU settings, serum albumin and D-dimer have individually been shown to provide prognostic insights in various acute conditions, including sepsis, COVID-19, and trauma-related complications [1][2][3][4][5][6][7][8][9][10]. ...

Hypoalbuminemia as a predictor of severe dengue: a systematic review and meta-analysis
  • Citing Article
  • January 2025