• Maternal serum laeverin (aminopeptidase Q) measured in the first trimester of pregnancy does not predict preeclampsia 

      Pihl, Kasper; Sørensen, Steen; Nystad, Mona; Acharya, Ganesh; Jørgensen, Finn S. (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-04-22)
      <i>Objective</i>: The aim of this study was to compare the laeverin level in maternal serum from first trimester (11–14 weeks) of pregnancy between normal pregnancies and pregnancies that later developed preeclampsia (PE).<p><p> <i>Material and methods</i>: This was a case-cohort study. The laeverin concentration was measured in cases with preterm PE (<i>n</i> = 55), term PE (<i>n</i> = 95), and ...
    • Multi-modal chip-based fluorescence and quantitative phase microscopy for studying inflammation in macrophages 

      Dubey, Vishesh; Ahmad, Azeem; Singh, Rajwinder; Wolfson, Deanna; Basnet, Purusotam; Acharya, Ganesh; Mehta, Dalip Singh; Ahluwalia, Balpreet Singh (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-07-24)
      Total internal reflection fluorescence (TIRF) microscopy benefits from high-sensitivity, low background noise, low photo-toxicity and high-contrast imaging of sub-cellular structures close to the membrane surface. Although, TIRF microscopy provides high-contrast imaging it does not provide quantitative information about morphological features of the biological cells. Here, we propose an integrated ...
    • Myocardial tissue Doppler velocities in fetuses with hypoplastic left heart syndrome. 

      Vyas, HV; Eidem, BW; Cetta, F; Acharya, Ganesh; Huhta, J.; Roberson, D; Cuneo, B (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      Tissue Doppler Imaging (TDI) is a sensitive index of myocardial function. Its role in the fetus has not been extensively evaluated. To compare myocardial tissue Doppler velocities in fetuses with hypoplastic left heart syndrome (HLHS) to those of normal fetuses (matched for gestational age.) Cross-sectional retrospective study conducted at 2 large perinatal centers (2003-2007). Fetuses with HLHS ...
    • Nifedipine disturbs fetal cardiac function during hypoxemia in a chronic sheep model at near term gestation 

      Alanne, Leena; Bhide, Amarnath Govind; Lantto, Juulia; Huhta, Heikki; Kokki, Merja; Haapsamo, Mervi; Acharya, Ganesh; Rasanen, Juha (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11)
      Background: Nifedipine is a widely used drug in pregnancies complicated by maternal hypertensive disorders that can be associated with placental insufficiency and fetal hypoxemia. The evidence regarding fetal myocardial responses to nifedipine in hypoxemia is limited.<p> <p>Objective: We hypothesized that nifedipine would not impair fetal sheep cardiac function under hypoxemic environment. In ...
    • Nitric oxide, oxidative stress and streptococcus mutans and lactobacillus bacterial loads in saliva during the different stages of pregnancy: A longitudinal study 

      Wagle, Madhu; Basnet, Purusotam; Vårtun, Åse; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-03)
      Hormonal changes associated with pregnancy promote oral bacterial growth, which may affect salivary nitric oxide (NO) levels, oxidative stress (OS), and antioxidant capacity (AC). We hypothesized that caries-related bacterial load, NO level, and OS in the saliva change with advancing gestation. The aim of this study was to investigate longitudinal changes in salivary NO, OS, and AC during pregnancy ...
    • Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow? 

      Liang, Huan; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-03-05)
      Pregnancy is a state of partial immune suppression which makes pregnant women more vulnerable to viral infections, and the morbidity is higher even with seasonal influenza. Therefore, the COVID‐19 epidemic may have serious consequences for pregnant women. Although the vast majority of cases of COVID‐19 are currently in China, the risk of outward transmission appears to be significantly raising global ...
    • Oxidative stress levels and oral bacterial milieu in the saliva from pregnant vs. non-pregnant women 

      Wagle, Madhu; Basnet, Purusotam; Vårtun, Åse; Trovik, Tordis A; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-09-03)
      <i>Background</i> - Saliva plays a significant role in maintaining oral health and oral bacterial milieu. Difference in oxidative stress (OS) levels in saliva in conjunction with bacterial load between pregnant and non-pregnant women has not been studied previously. We hypothesized that the physiological changes in pregnancy alter oral bacterial milieu by promoting growth of <i>Streptococcus mutans</i> ...
    • Partially spatially coherent digital holographic microscopy and machine learning for quantitative analysis of human spermatozoa under oxidative stress condition 

      Dubey, Vishesh Kumar; Popova, Daria; Ahmad, Azeem; Acharya, Ganesh; Basnet, Purusotam; Mehta, Dalip Singh; Ahluwalia, Balpreet Singh (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-03-05)
      Semen quality assessed by sperm count and sperm cell characteristics such as morphology and motility, is considered to be the main determinant of men’s reproductive health. Therefore, sperm cell selection is vital in assisted reproductive technology (ART) used for the treatment of infertility. Conventional bright field optical microscopy is widely utilized for the imaging and selection of sperm cells ...
    • PEGylated liposomes for topical vaginal therapy improve delivery of interferon alpha 

      Jøraholmen, May Wenche; Basnet, Purusotam; Acharya, Ganesh; Skalko-Basnet, Natasa (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-01-11)
      Recent studies regarding mucosal drug delivery indicate that nanosystems with surface-available polyethylene glycol (PEG) are able to penetrate mucus barrier, assure closer contact with the epithelium, and improve drug delivery to vagina. In the present work, we developed the mucus-penetrating PEGylated liposomes containing interferon alpha-2b (IFN α-2b), destined to provide localized therapy for ...
    • Peripheral chemoreflex activation and cardiac function during hypoxemia in near-term fetal sheep without placental compromise 

      Lantto, Juulia; Erkinaro, Tiina; Haapsamo, Mervi; Huhta, Heikki; Alanne, Leena; Kokki, Merja; Ohtonen, Pasi; Bhide, Amarnath; Acharya, Ganesh; Rasanen, Juha (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-09)
      A drop in arterial oxygen content activates fetal chemoreflex including an increase in sympathetic activity leading to peripheral vasoconstriction and redistribution of blood flow to protect the brain, myocardium, and adrenal glands. By using a chronically instrumented fetal sheep model with intact placental circulation at near-term gestation, we investigated the relationship between peripheral ...
    • Quantitative assessment of morphology and sub-cellular changes in macrophages and trophoblasts during inflammation 

      Singh, Rajwinder; Dubey, Vishesh; Wolfson, Deanna; Ahmad, Azeem; Butola, Ankit; Acharya, Ganesh; Singh Mehta, Dalip; Basnet, Purusotam; Ahluwalia, Balpreet Singh (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-06-12)
      In pregnancy during an inflammatory condition, macrophages present at the feto-maternal junction release an increased amount of nitric oxide (NO) and pro-inflammatory cytokines such as TNF-α and INF-γ, which can disturb the trophoblast functions and pregnancy outcome. Measurement of the cellular and sub-cellular morphological modifications associated with inflammatory responses are important in order ...
    • Reference ranges of fetal superior vena cava blood flow velocities and pulsatility index in the second half of pregnancy: a longitudinal study 

      Stefopoulou, Maria; Herling, Lotta; Johnson, Jonas; Lindgren, Peter; Kiserud, Torvid; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-02-23)
      Background - Fetal superior vena cava (SVC) is essentially the single vessel returning blood from the upper body to the heart. With approximately 80-85% of SVC blood flow representing cerebral venous return, its interrogation may provide clinically relevant information about fetal brain circulation. However, normal reference values for fetal SVC Doppler velocities and pulsatility index are lacking. ...
    • Resveratrol-loaded liposomes for topical treatment of the vaginal inflammation and infections 

      Jøraholmen, May Wenche; Skalko-Basnet, Natasa; Acharya, Ganesh; Basnet, Purusotam (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-07)
      Resveratrol (RES), chemically known as 3,5,4′-trihydroxy-trans-stilbene, is a promising multi-targeted antioxidative and anti-inflammatory natural polyphenol. Preclinical studies showed its biological activities against the pathogens of sexually transmitted diseases causing vaginal inflammation and infections. Due to its low solubility and poor bioavailability, the optimal therapeutic uses are ...
    • Self-reported mental health status of pregnant women in Sweden during the COVID-19 pandemic: a cross-sectional survey 

      Ho-Fung, Chung; Andersson, Ewa; Hsuan-Ying, Huang; Acharya, Ganesh; Schwank, Simone (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-28)
      Background: The COVID-19 pandemic has contributed to unprecedented worries and challenges for pregnant women due to social restrictions and changes in maternity care provision. We aimed to investigate the mental health impact of COVID-19 pandemic on pregnant women in Sweden and explore factors associated with poor perinatal mental health in this specifc context.<p> <p>Method: This was a nation-wide ...
    • Seroprevalence of Cytomegalovirus and Associated Factors Among Preconception Women: A Cross-Sectional Nationwide Study in China 

      Zhou, Qiongjie; Wang, Qiaomei; Shen, Haiping; Zhang, Yiping; Zhang, Shikun; Li, Xiaotian; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-08-25)
      Background: Cytomegalovirus seroconversion during pregnancy is common and has a substantial risk of congenital infection with longterm sequale. Screening during pregnancy or vaccination have not been shown to be effective for eliminating congenital infections. Preconception screening policy has not been evaluated adequately in a large scale. This nationwide study aimed to investigate epidemiological ...
    • Sex differences in umbilical artery Doppler indices: A longitudinal study 

      Widnes, Christian; Flo, Kari; Wilsgaard, Tom; Kiserud, Torvid; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-04-18)
      <p><i>Background</i>: Sexual dimorphism in placental size and function has been described. Whether this influences the clinically important umbilical artery (UA) waveform remains controversial, although a few cross-sectional studies have shown sex differences in UA pulsatility index (PI). Therefore, we tested whether fetal sex influences the UA Doppler indices during the entire second half of pregnancy ...
    • Sex-specific reference ranges of cerebroplacental and umbilicocerebral ratios: A longitudinal study 

      Acharya, Ganesh; Ebbing, Cathrine; Karlsen, Henriette Odland; Kiserud, Torvid; Rasmussen, Svein (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-09-10)
      <p><i>Objectives - </i>The ratio of middle cerebral artery (MCA) pulsatility index (PI) to umbilical artery (UA) PI, i.e. cerebro‐placental ratio (CPR), has been suggested as a measure of fetal “brain sparing” phenomenon reflecting redistribution of fetal cardiac output as a response to placental insufficiency. Observational studies have shown that low CPR values predict increased risk of adverse ...
    • Sperm mitochondrial DNA copy numbers in normal and abnormal semen analysis: A systematic review and meta-analysis 

      Popova, Daria; Bhide, Priya; D’Antonio, Francesco; Basnet, Purusotam; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-12-25)
      Background: Normal mature sperm have a considerably reduced number of mitochondria, which provide the energy required for progressive sperm motility. Literature suggests that disorders of sperm motility may be linked to abnormal sperm mitochondrial number and function.<p> <p>Objectives: To summarise the evidence from literature regarding the association of mitochondrial DNA copy numbers and semen ...
    • Static and functional hemodynamic profiles of women with abnormal uterine artery doppler at 22-24 weeks of gestation 

      Vårtun, Åse; Flo, Kari; Widnes, Christian; Acharya, Ganesh (Journal article; Tidsskriftartikkel; Peer reviewed, 2016)
      Objective To compare cardiac function, systemic hemodynamics and preload reserve of women with increased (cases) and normal (controls) uterine artery (UtA) pulsatility index (PI) at 22–24 weeks of gestation. Materials and Methods A prospective cross-sectional study of 620 pregnant women. UtA blood flow velocities were measured using Doppler ultrasonography, and PI was calculated. Mean UtA ...
    • A systematic review and critical evaluation of quality of clinical practice guidelines on fetal growth restriction 

      Alameddine, Sara; Capannolo, Giulia; Rizzo, Giuseppe; Khalil, Asma; Di Girolamo, Raffaella; Iacovella, Carlotta; Liberati, Marco; Patrizi, Lodovico; Acharya, Ganesh; Odibo, Anthony O; D'Antonio, Francesco (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-29)
      Introduction - To systematically identify and critically assess the quality of clinical practice guidelines (CPGs) on management fetal growth restriction (FGR).<p> <p>Content - Medline, Embase, Google Scholar, Scopus and ISI Web of Science databases were searched to identify all relevant CPGs on FGR.<p> <p>Summary - Diagnostic criteria of FGR, recommended growth charts, recommendation for ...