Publications by authors named "Agrawal Y"

Currently, diabetic nephropathy (DN) stands as the predominant global cause of endstage renal disease. Many scientists believe that diabetes will eventually spread to pandemic levels due to the rising prevalence of the disease. While the primary factor leading to diabetic nephropathy is vascular dysfunction induced by hyperglycemia, several other pathological elements, such as fibrosis, inflammation, and oxidative stress, also contribute to the progression of the disease.

View Article and Find Full Text PDF

Background: The infiltration of tumor-infiltrating B cells and plasma cells in early-stage breast cancer has been associated with a reduced risk of distant metastasis. However, the influence of B-cell tumor infiltration on overall patient survival remains unclear.

Materials And Methods: This study explored the relationship between an antitumor immune response, measured by a 14-gene B-cell/immunoglobulin (IGG) signature, and mortality risk in 9638 breast cancer patients across three datasets.

View Article and Find Full Text PDF

Aims: Arthroplasty has been shown to generate the most waste among all orthopaedic subspecialties, and it is estimated that hip and knee arthroplasty generate in excess of three million kg of waste annually in the UK. Infectious waste generates up to ten times more CO2 compared with recycled waste, and previous studies have shown that over 90% of waste in the infectious stream is misallocated. We assessed the effect of real-time waste segregation by an unscrubbed team member on waste generation in knee and hip arthroplasty cases, and compared this with a simple educational intervention during the 'team brief' at the start of the operating list across two sites.

View Article and Find Full Text PDF

Aging-associated decline in peripheral vestibular function is linked to deficits in executive ability, self-motion perception, and motor planning and execution. While these behaviors are known to rely on the sensorimotor and frontal cortices, the precise pathways involving the frontal and sensorimotor cortices in these vestibular-associated behaviors are unknown. To fill this knowledge gap, this cross-sectional study investigates the relationship between age-related variation in vestibular function and surface shape alterations of the frontal and sensorimotor cortices, considering age, intracranial volume, and sex.

View Article and Find Full Text PDF

This study investigated the effect of collagen fiber tortuosity distribution on the biomechanical failure and prefailure properties of arterial wall tissue. An in-silico model of the arterial wall was developed using data obtained from combined multiphoton microscopy imaging and uni-axial tensile testing. Layer-dependent properties were prescribed for collagen, elastin, and ground substance.

View Article and Find Full Text PDF

A stroke, also known as cerebrovascular accident, is a medical emergency that occurs when the blood supply to the brain is interrupted. This disruption can happen in two main ways: through a hemorrhagic stroke, where a blood vessel in the brain bursts, or through an ischemic stroke, where a blood clot blocks an artery. Both types of stroke cause damage to brain cells, leading to a range of health complications.

View Article and Find Full Text PDF

Reversed-phase high-performance liquid chromatography was used to study the host-guest complexation of thiophosphacalixarenes (TPC 1-3) with acetamiprid, imidacloprid and carboxin as guests. The Onyx Monolithic C 18 column (150 × 0.1 mm) and Phenomenex® were used with UV detection at 254 nm.

View Article and Find Full Text PDF

Objectives: This study used a cloud-based program, MRICloud, which parcellates T1 MRI brain scans using a probabilistic classification based on manually labeled multi-atlas, to create a tool to segment Heschl gyrus (HG) and the planum temporale (PT).

Methods: MRICloud is an online platform that can automatically segment structural MRIs into 287 labeled brain regions. A 31-brain multi-atlas was manually resegmented to include tags for the HG and PT.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the effects of AM251, a CB1R antagonist, on myocardial infarction in diabetic mice, focusing on its ability to modulate the NF-kB signaling pathway.
  • The experiment involved inducing diabetes in mice with a high-fat diet and STZ injection, followed by treatment with either AM251 or oleamide alongside a β-agonist to trigger MI.
  • Findings showed that AM251 improved cardiac function by reducing oxidative stress, inflammation, and myocardial injury, whereas oleamide induced cardiac toxicity when used alone.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effectiveness and safety of endoscopic transsphenoidal surgery (ETSS) for treating adrenocorticotropic hormone (ACTH)--secreting pituitary adenomas that cause Cushing's disease (CD), analyzing data from surgeries performed between January 2015 and February 2022.
  • Out of 41 patients who underwent ETSS, the initial remission rate was 85.4% using standard criteria, and after including results from a small number of repeat surgeries, the overall remission rate rose to 90.2%.
  • Postoperative complications were relatively low, with only a small percentage experiencing diabetes insipidus and no serious complications like meningitis or vascular injury being reported.
View Article and Find Full Text PDF

Apixaban, an anticoagulant, is limited in its efficacy due to poor solubility, low bioavailability, and extensive metabolism. This study investigates the application of nanostructured lipid carriers (NLCs) to enhance the bioavailability of Apixaban. NLCs were prepared using the high-pressure homogenization method.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between cannabis use and metabolic syndrome (MetS) among emerging adults, focusing on race/ethnicity differences.
  • Data from a large health survey revealed that Hispanic respondents had the highest prevalence of MetS but the lowest cannabis use, while non-Hispanic black respondents had the highest cannabis use and the lowest MetS prevalence.
  • The findings suggest that current cannabis use is linked to lower odds of MetS, particularly among non-Hispanic blacks, indicating the need for further research into how various factors may influence these outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • * Researchers developed new linezolid bioisosteres with a modified side chain to enhance effectiveness and lower toxicity.
  • * One promising bioisostere showed better activity against certain resistant cells and was significantly less toxic than linezolid, indicating a safer treatment option.
View Article and Find Full Text PDF

The USFDA granted regular approval to Osimertinib (AZD9291) on March 2017, for treating individuals with metastatic Non-Small Cell Lung Cancer having EGFR T790M mutation. Clinically, Osimertinib stands at the forefront for the treatment of patients with Non-Small Cell Lung Cancer. Osimertinib forms a covalent bond with the Cys797 residue and predominantly spares binding to WT-EGFR, thereby reducing toxicity and enabling the administration of doses that effectively inhibit T790M.

View Article and Find Full Text PDF

Background: People with vestibular dysfunction encounter many obstacles when seeking vestibular rehabilitation treatment. Remote delivery of vestibular rehabilitation may offer a promising avenue for overcoming these barriers, ensuring uninterrupted and cost-effective care.

Objective: To evaluate clinical trials studying telerehabilitation and virtual reality devices as therapeutic interventions for individuals with vestibular dysfunction.

View Article and Find Full Text PDF

Sensory impairment and brain atrophy is common among older adults, increasing the risk of dementia. Yet, the degree to which multiple co-occurring sensory impairments (MSI across vision, proprioception, vestibular function, olfactory, and hearing) are associated with brain morphometry remain unexplored. Data were from 208 cognitively unimpaired participants (mean age 72 ± 10 years; 59% women) enrolled in the Baltimore Longitudinal Study of Aging.

View Article and Find Full Text PDF

The investigation of thermoluminescence (TL) glow curves in liquid crystalline side chain N-phenyl-substituted phenyl polysiloxane hydroxamic acids (PHAs) has yielded significant insights. These polymers demonstrated TL behavior when exposed to β-radiation between 0 and 220°C, indicating inherent luminescent properties when irradiated. Notably, a dose-dependent relationship was observed in reported derivatized polymers; this study elucidates the diverse TL characteristics exhibited by various liquid crystalline side chain N-phenyl-substituted phenyl PHAs when exposed to β-radiation.

View Article and Find Full Text PDF

Objectives: Vestibular vertigo has been shown to have a high lifetime prevalence. Previous studies have described the increased morbidities associated with vestibular vertigo.

Design: In this cross-sectional study of the 2016 National Health Interview Study, we sought to explore whether individuals with vestibular vertigo were more likely to utilize healthcare resources compared with those without vestibular vertigo.

View Article and Find Full Text PDF
Article Synopsis
  • Spatial navigation is an essential skill affected by vestibular and hearing impairments, which are under-researched in this context.
  • The study analyzed data from 182 participants, using various tests to evaluate the impact of these impairments on navigation performance.
  • Results indicated that while vestibular dysfunction (measured by oVEMP) correlated with increased navigation errors, hearing impairment was specifically linked to shorter walking distances; however, there was no interaction effect between vestibular and hearing function on navigation ability.
View Article and Find Full Text PDF

Introduction: There is growing interest in the use of robotic TKA to improve accuracy of component positioning in Total Knee Arthroplasty (TKA). The aim of this study was to investigate the accuracy of implant component position using the ROSA® knee system with specific reference to Joint Line Height, Patella Height and Posterior Condylar Offset (PCO).

Methods: This was a retrospective review of a prospectively-maintained database of the initial 100 consecutive TKAs performed by a high volume surgeon using the ROSA® knee system.

View Article and Find Full Text PDF

In this study, we performed genomic analyses of cell cycle and tumor microenvironment changes during and after ribociclib and letrozole or chemotherapy in the CORALLEEN trial. 106 women with untreated PAM50-defined Luminal B early breast cancers were randomly assigned to receive neoadjuvant ribociclib and letrozole or standard-of-care chemotherapy. Ki67 immunohistochemistry, tumor-infiltrating lymphocytes quantification, and RNA sequencing were obtained from tissue biopsies pre-treatment, on day 14 of treatment, and tumor specimens from surgical resection.

View Article and Find Full Text PDF
Article Synopsis
  • Age-related issues in sensory and motor skills can increase the risk of early cognitive impairment (ECI), but this connection hasn't been fully explored before.
  • A study with 650 participants assessed sensory and motor functions to see how they relate to ECI, revealing strong correlations among multisensory, fine, and gross motor skills.
  • Findings indicated that better sensory and motor skills significantly lower the odds of ECI, suggesting that understanding these relationships could help develop strategies for preventing or treating ECI in older adults.
View Article and Find Full Text PDF

Objectives: Clinical trials studying Alzheimer's Disease (AD) face the challenge of recruiting participants with significant barriers to entering research studies. The objective of this study is to compare digital recruitment strategies' ability to recruit older adults with cognitive impairment (CI).

Methods: Older adults with CI were recruited for a clinical trial studying vestibular therapy in reducing falls and improving balance and cognition in older adults with CI.

View Article and Find Full Text PDF
Article Synopsis
  • Single sensory impairments linked to lower resilience and higher mortality; the effects of multiple sensory deficits on health remain unclear.
  • This study explored how the type, severity, and number of sensory impairments affect physical function and mortality in older adults over time.
  • Using data from the Health ABC study over 16 years, findings showed that increasing sensory impairments were associated with significant declines in physical function and higher mortality risk.
View Article and Find Full Text PDF

There is increasing adoption of robotic surgical technology in Total Knee Arthroplasty. The ROSA® knee system can be used in either image-based mode (using pre-operative calibrated radiographs) or imageless modes (using intra-operative bony registration). The Mako knee system is an image-based system (using a pre-operative CT scan).

View Article and Find Full Text PDF