Publications by authors named "Aditya Narayan"

Background: Humanitarian crises frequently garner solidarity and robust volunteer recruitment among health care communities. However, a common obstacle is matching providers to those in need across geographic and other barriers. We examined the application of a decentralised governance strategy in establishing an emergency telemedicine response, TeleHelp Ukraine (THU).

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India’s evolving digital health strategy leverages innovative technologies to enhance access to healthcare services. This paper explores the key components of India’s digital health transformation, including the Ayushman Bharat Digital Mission (ABDM) and India’s integration of biometric identification and digital infrastructure to improve healthcare delivery. The lessons learned from India’s large-scale implementation of digital health provide valuable insights for global health markets and digital transformations in healthcare systems.

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  • The study investigates the properties of hydrochlorothiazide (HCTZ) after it is cocrystallized with 4-aminobenzoic acid (4-ABA), focusing on how this combination alters physical and chemical characteristics.
  • Techniques like infrared (IR) and Raman spectroscopy, along with quantum chemical methods, were used to analyze hydrogen bonding interactions and chemical reactivity, determining that B3LYP provides the most reliable results for spectroscopy.
  • The findings suggest that the cocrystal HCTZ-4ABA has enhanced chemical reactivity and softer properties compared to HCTZ alone, indicating that cocrystallization could improve a drug's physicochemical properties without affecting its therapeutic effects.
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  • Over 20 million individuals in the U.S. identified as Asian American, Native Hawaiian, or Pacific Islander in 2022, with varying immigration histories and health needs, yet cervical cancer studies have often lumped this diverse group together.
  • This study aimed to investigate cervical cancer disparities specifically within disaggregated Asian American, Native Hawaiian, or Pacific Islander groups by analyzing data from 122,926 cervical cancer patients diagnosed between 2004 and 2020.
  • Results showed that Asian American, Native Hawaiian, or Pacific Islander patients were diagnosed at earlier stages of cervical cancer compared to non-Hispanic White patients, with the largest subgroups being Filipino, Chinese, Indian/Pakistani, Vietnamese, and Korean Americans
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Our objective was to study the proportion of children developing Catheter-related thrombosis (CRT) following central venous Catheter (CVC) insertion and the risk factors of CRT in pediatric patients with CVC. One hundred four children aged 29 days to 18 years who had a percutaneous non-tunneled CVC inserted were enrolled. Ultrasonogram (USG) with venous Doppler scan was performed within 48 hours of CVC removal to diagnose CRT.

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In 2023, approximately 650,000 people experienced homelessness (PEH) nightly in the United States, the highest number recorded in the country's history. This alarming statistic has made homelessness a key issue in the 2024 elections, especially with the White House's goal to reduce homelessness by 25% by 2025. Despite efforts and investments, homelessness remains a persistent public health challenge.

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Background: Food malabsorption and intolerance is implicated in gastrointestinal symptoms among patients with irritable bowel syndrome (IBS). Key triggers include fructose and fructan. Prior studies examined fructose and fructan malabsorption separately in IBS patients.

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This paper explores the relationship between the development of the internet and health care, highlighting their parallel growth and mutual influence. It delves into the transition from the early, static days of Web 1.0, akin to siloed physician expertise in health care, to the more interactive and patient-centric era of Web 2.

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Background: Regarding scientific research, Imidazo[1,2-a] pyridine derivatives are constantly being developed due to the scaffold's intriguing chemical structure and varied biological activity. They are distinctive organic nitrogen-bridged heterocyclic compounds that have several uses in medicines, organometallics and natural products. It has become a vital tool for medicinal chemists.

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Accurate observation of patient functioning is necessary for rigorous clinical research and for improving the quality of patient care. However, clinic or laboratory environments systematically differ from the contexts of everyday life. Further, assessments that are completed in a single institutional session may not be generalizable.

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A year ago, 17-year-old "Alex" was brought into the emergency department after a self-inflicted gunshot wound. Neither his primary care doctor nor his psychologist were aware of his first attempt 6 months previously. Unfortunately, this attempt was successful.

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In this Policy Forum piece, Aditya Narayan and colleagues discuss the challenges and opportunities for tuberculosis preventive treatment in carceral settings.

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Background: We aimed to describe the burden, severity, and underlying factors of associated impairments among children with cerebral palsy (CP) in rural Bangladesh.

Methods: This study reports findings from the Bangladesh Cerebral Palsy Register-the first population-based surveillance of children with CP in any LMIC, where children with confirmed CP aged < 18 years are registered by a multidisciplinary team following a standard protocol. Associated impairments were documented based on clinical assessment, available medical records, and a detailed clinical history provided by the primary caregivers.

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With older adults already on numerous prescription medications to manage their chronic conditions, the addition of pain medications could impose an even greater burden due to dependency issues. We need to understand the use of chronic pain medication, especially opioids, discuss current strategies and gaps, and offer potential solutions to mitigate overuse among older adults.

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