Publications by authors named "Ramachandran A"

Background: Thyroid dysfunction in pregnancy can adversely impact maternal and fetal outcomes. However, the association between thyroid status and specific adverse outcomes needs clarity, especially in understudied regions.

Objective: This prospective cohort study aimed to illuminate the multifaceted associations between maternal thyroid dysfunction and feto-maternal outcomes in Gujarat, India.

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Background: Metabolic-associated fatty liver disease (MAFLD) is a major public health problem worldwide. This study aimed to determine the prevalence of MAFLD and evaluate the diagnostic accuracy of the Fatty Liver Index (FLI) compared to ultrasonography for detecting fatty liver in adults attending a tertiary care hospital in Gujarat, India.

Methods: This cross-sectional study included 500 adults visiting the outpatient department between January 2023 and December 2023.

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Although the gene has a long-standing association with cancer, its mechanisms of action remain incompletely understood, acting both as a tumour suppressor in neuroendocrine tumours and as an oncogene in leukaemia. The best-characterised isoform of the encoded protein, MENIN, is the 610-amino acid MENIN isoform 2. We hypothesise that some of the complexity of biology can be attributed to a currently unappreciated contribution of different MENIN isoforms.

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Article Synopsis
  • Drug-induced liver injury is a major global health issue, necessitating a better understanding of cell death mechanisms to find new treatments.
  • Reactive oxygen species and lipid peroxidation were once key areas of research in liver toxicity but shifted focus to apoptosis, until ferroptosis—a new type of cell death—gained attention due to its unique mechanisms involving glutathione depletion.
  • This review examines historical evidence for lipid peroxidation's role in liver damage and how it led to recognizing ferroptosis, highlighting that liver's antioxidant defenses generally prevent significant lipid peroxidation unless severely compromised.
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Extracellular Vesicles (EVs) based cancer research reveals several complicated sides of cancer. EVs are classified as several subpopulations such as microvesicles, apoptotic bodies, and exosomes. In cancer, exosomes play a significant role as a cellular messenger in tumor development and progression.

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Rabies, a fatal zoonotic viral disease claims numerous lives annually worldwide, particularly in Asia and Africa. Despite the high prevalence of rabies in India, the Andaman and Nicobar Islands have historically maintained a rabies-free status. This report documents the first non-indigenous case of human rabies in these islands, emphasizing the imperative for heightened surveillance measures.

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Introduction: Retrograde intrarenal surgery (RIRS) is the standard treatment for renal calculi. Direct visualization and fragmentation are its major advantages. The variable stone clearance rates and the ergonomic challenges faced by urologists are a few limitations.

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Purpose: To describe the clinical presentation and treatment outcomes of patients undergoing Ruthenium-106 (Ru) plaque brachytherapy as salvage treatment for retinoblastoma (RB) following intravenous chemotherapy (IVC).

Methods: Retrospective chart review of 44 eyes of 42 patients. The indications for plaque brachytherapy included solid tumor recurrence (n=20; 45%), solid tumor residual (n=16; 36%), new subretinal seeds (n=5; 12%), and new solid tumor (n=3; 7%).

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Non-typhoidal causing urinary tract infections is uncommon.Their presence in urine is usually suggestive of genitourinary abnormalities, immunosuppression, andother comorbid conditions. The first patient is an 18-year-old female who presented to the Emergency Department with abdominal pain and burning micturition.

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Background: Preterm birth (PTB) is associated with significant neonatal mortality and morbidity. Universal measurement of cervical length has been proposed as a screening tool to direct intervention to prevent PTB.

Aim: To assess the impact of the introduction of sonographic mid-trimester cervical length screening on the use of cervical cerclage and PTB.

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Aim: This study aimed to compare the remineralizing efficacy of strontium-doped bioactive glass, BioMin, and NovaMin containing dentifrices on artificial white spot lesions (WSLs) after chlorhexidine (CHX) pretreatment using energy-dispersive X-ray analysis (EDAX).

Materials And Methodology: Twenty-four samples of maxillary first premolars extracted for orthodontic purposes were selected. Artificial WSLs were produced by immersing the samples in a prepared demineralizing solution for 3 days.

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Article Synopsis
  • A new positioning technique, known as the mini-steamroll maneuver, is introduced for patients with retinal detachment after a procedure called pneumatic retinopexy (PnR).
  • The study involved six patients and showed that the maneuver, which includes a face-down position for 10 minutes, significantly reduced subretinal fluid and aided in retinal reattachment.
  • The findings suggest that the mini-steamroll maneuver could be an effective and simpler alternative for patient positioning post-PnR in specific cases.
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  • A 23-year-old woman with a history of psoriatic arthritis (PsA) experienced acute ischemic stroke symptoms in August 2023 after previously achieving remission from PsA.
  • Initially, she presented with joint pain and skin lesions in 2017, eventually leading to her diagnosis of PsA.
  • The case emphasizes the difficulties in diagnosing and treating patients with multiple, overlapping autoimmune diseases, particularly as she progressed to Takayasu arteritis (TAK).
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Chronic low back pain (CLBP) is a common disorder worldwide, affecting young and old adults alike. Kinematic studies of lumbar-pelvic mobility allied with surface electromyogram (sEMG) can assist in the assessment and management of CLBP. This systematic review aimed to synthesise the evidence relating to the diagnostic accuracy and reliability of the surface electromyogram in chronic low back pain patients during flexion-extension-relaxation tasks.

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Introduction: With the rising prevalence of neurocognitive disorders (NCDs) among the aging population, particularly in conditions like mild cognitive impairment (MCI), which often precedes dementia, there remains a significant gap in effective pharmacological interventions. This has generated interest in exploring alternative therapies to manage symptoms and enhance cognitive function in the aging population. The primary objective of this study was to evaluate the effect of Medhasagar Rasa® on cognitive functions, daily functioning, and quality of life in participants with aging-associated mild neurocognitive disorder using the Montreal Cognitive Assessment (MoCA) Scale, Ayurvedic Manasabhava Scale, and Brief Cognitive Rating Scale (BCRS).

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Cancer remains a significant cause of mortality in the world, with increasing prevalence worldwide. There are numerous treatments ranging from surgery to chemotherapy and radiotherapy, but since cancer is a heterogeneous disease, only few patients possibly respond to treatments. However, it opens a huge space for the advent of targeted therapies such as hormone therapy, immunotherapy, and target-specific drugs.

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Surface-attached cells can sense and respond to shear flow, but planktonic (free-swimming) cells are typically assumed to be oblivious to any flow that carries them. Here, we find that planktonic bacteria can transcriptionally respond to flow, inducing expression changes that are beneficial in flow. Specifically, we use microfluidic experiments and quantitative modeling to show that in the presence of flow, planktonic induce shear rate-dependent genes that promote growth in low-oxygen environments.

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Introduction: Benign prostatic hyperplasia (BPH) is a common urological condition, particularly among middle-aged and elderly men. Trans urethral resection of prostate (TURP) has some drawbacks, particularly concerning ejaculatory function. Ejaculation preserving TURP (Ep-TURP) is one such technique that aims at preserving the tissues that are primarily responsible for antegrade ejaculation.

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Article Synopsis
  • The increasing production of oily wastewater from industries and oil spills is causing significant environmental issues, necessitating the need for effective oil-water separation technologies.
  • Recent advancements in materials with unique wettability properties (superhydrophilic/superoleophobic and superhydrophobic/superoleophilic) offer promising solutions for efficient oil-water separation.
  • This review discusses various system designs, categorizes them based on enclosed versus open-to-air scenarios, traces the evolution of these designs, and offers insights for future developments in oil-water separation technologies.
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Purpose: PET/CT-based Deauville scoring (DS) is routinely used for lymphoma response assessment. However, pathological correlation of DS is not yet precisely documented. In the present study we aimed to pathological confirm the PET/CT-based Deauville scoring (DS) in lymphoma after first-line chemotherapy.

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Over the years, technological innovations have reshaped our approach toward treating chronic conditions such as diabetes. As you are aware, diabetes is a metabolic disorder requiring lifestyle changes and a lifetime of treatment and continued care. Recently, digital technology has been found to support chronic diabetes care.

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Background: To ensure the validity and therapeutic utility of the Neck disability index (NDI) scale, translations, cultural adaptations and psychometric evidence is necessary. This study aimed to address the absence of a suitable and validated Hindi version of the NDI for the rural population. The specific objectives were to translate, adapt, and evaluate the psychometric properties of the newly developed Hindi version of the NDI.

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Positive blood cultures have been identified in debilitated, stranded, and deceased green turtles (), suggestive of septicemia. Interpretation of these results is often difficult because multiple studies have previously identified bacteremia in clinically healthy reptiles. In this study, paired blood cultures and skin cultures obtained after aseptic preparation of the venipuncture site were collected from 50 immature free-ranging green turtles from Port Canaveral, Florida.

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