Publications by authors named "Bhandari R"

Substance use disorders (SUDs) pose a significant global health challenge, with relapse being a major obstacle in achieving successful treatment outcomes. In recent years, drug delivery strategies have emerged as promising tools to improve treatment efficacy and patient compliance in the context of SUD. Here we explore a diverse range of drug delivery strategies that have been investigated for addressing relapse behavior in SUD.

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The evolving threat of new pathogen variants in the face of global environmental changes poses a risk to a sustainable crop production. Predicting and responding to how climate change affects plant-pathosystems is challenging, as environment affects host-pathogen interactions from molecular to the community level, and with eco-evolutionary feedbacks at play. To address this knowledge gap, we studied short-term within-host eco-evolutionary changes in the pathogen, , on resistant and susceptible pepper in the open-top chambers (OTCs) under elevated Ozone (O) conditions in a single growing season.

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A new conjugate, 2-(4-(anthracen-9-yl) phenyl)-[1,2-d]imidazole-1H-anthraquninone (AQI) has been designed and synthesized as a molecular probe 4. The photophysical and electrochemical behavior of the probe in the absence and presence of different class of ions were examined in acetonitrile solution. The probe 4 with F and CN anions showed ratiometric fluorescence "turn - On" response due to variation in ICT processes.

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An efficient molecular probe 8 has been designed and synthesized. The photophysical, electrochemical and morphological behavior of the probe has been examined in the absence and presence of different ions. The probe 8 at 90 % water fraction in acetonitrile showed aggregation induced emission (AIE).

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Biliary stents are widely used following endoscopic management of choledocholithiasis. Removal is recommended within 3-6 months to prevent complications. This study analyzed cases of retained biliary stents managed at our institution.

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The financial burden of hospitalization from life-threatening infectious diseases on the U.S. healthcare system is substantial and continues to increase.

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Article Synopsis
  • The study evaluated adherence to healthcare waste management (HCWM) practices and knowledge among handlers in 10 district hospitals of Madhesh Province using a mixed-method approach, including surveys and interviews.
  • Findings showed that among 60 participants, most were female with a median age of 35, a significant portion was illiterate, and the average adherence to HCWM practices was 74.88%, indicating room for improvement in waste management education and practices.
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Background Liver transplantation is the standard treatment for end-stage liver disease. Living donor liver transplantation is more commonly performed in Asian countries as compared to the Western due to the lack of organ donation. Donor safety is the key to sustaining a liver transplant program.

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Background: Hypothyroidism (HT) is the most prevalent endocrine disorder, affecting approximately one in 10 out of 35 adults, with a higher prevalence in females and the elderly.

Purpose: This systematic review (SR) aimed to discuss the effects of yoga on markers and comorbid conditions of HT.

Methods: The SR was registered with the PROSPERO (PROSPERO 2022 CRD42022312990).

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Repositioning maneuvers for benign paroxysmal positional vertigo (BPPV) designed to induce otoconial movement in one canal can trigger and sometimes unwittingly treat BPPV in other canals. Patients with BPPV are best managed by precisely diagnosing the canal variant and using correctly performed, standardized testing and treatment maneuvers.

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Article Synopsis
  • Spinal cord injury (SCI) presents limited treatment options, prompting research into Exo-loaded cannabinoid receptor type 2 (CB2) agonist AM1241, which has shown benefits in other inflammatory diseases but not specifically in SCI.
  • In an experiment with C57BL/6 mice, treatments with Exo, AM1241, and a combination of both were administered, with effects assessed on motor function, histological changes, inflammation, and oxidative stress levels.
  • The combined treatment of Exo and AM1241 markedly improved motor function recovery by reducing pro-inflammatory cytokines, inhibiting cell apoptosis, enhancing antioxidant defenses, and activating protective signaling pathways in the spinal cord.
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Eggs and sperm are responsible for the continuation of generations. Following the epigenetic reprogramming of the embryo, core epigenetic information present in the sperm and eggs is transmitted to offspring somatic cells prior to the blastula stage, which specifically influences gene expression in the cells. Differences in the patterns of DNA methylation between the paternal and maternal genomes are critical to regulating allele-specific gene expression in the developing embryo, constituting the basis of genomic imprinting in mammals.

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Antimicrobial resistance (AMR) poses a significant threat to global public health, disproportionately affecting low- and middle-income countries (LMICs). While excessive antibiotic use is often discussed, the issue of access to antibiotics demands attention. This viewpoint explores the multidimensional nature of the issue of access to antibiotics.

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Background: Childhood cancer survivors (CCS) have a 50% higher risk of diabetes mellitus (DM) compared with the general population. Interventions in survivors with prediabetes (fasting glucose 100-125 mg/dL or hemoglobin A1c 5.7%-6.

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Article Synopsis
  • The study examines the effectiveness of the dunking technique for pancreaticojejunostomy (PJ) combined with Braun's jejunojejunostomy (JJ) in 100 pancreaticoduodenectomy patients, focusing on surgical outcomes and complications.
  • Conducted at Tribhuvan University Hospital, patient data from 2012 to 2023 revealed that the most common reason for surgery was ampullary carcinoma, with various complication rates such as postoperative pancreatic fistulas and delayed gastric emptying (DGE).
  • Results indicate that the dunking technique is adaptable and less time-consuming, while incorporating Braun's JJ may help reduce DGE and improve postoperative recovery despite a higher risk of hemorrhage.
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Combinatorial substitution of phosphate groups on the inositol ring gives rise to a plethora of inositol phosphates (InsPs) and inositol pyrophosphates (PP-InsPs). These small molecules constitute an elaborate metabolic and signalling network that influences nearly every cellular function. This review delves into the knowledge accumulated over the past decades regarding the biochemical principles and significance of InsP metabolism.

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Introduction: The management of critically ill septic patients presents considerable challenges due to multifaceted physiological alterations. Rapid changes such as fluid shifts, hyperdynamic states, and altered renal clearance often require special attention for better clinical outcomes. Vital organ dysfunction, with or without MODS, often necessitates supportive management like RRT, ventilatory support, and ECMO.

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Sensitivity to the subjective reinforcing properties of opioids has a genetic component and can predict addiction liability of opioid compounds. We previously identified as a candidate gene underlying increased brain concentration of the oxycodone () metabolite oxymorphone () in BALB/cJ () versus BALB/cByJ () females that could increase OXY state-dependent reward. A large structural intronic variant is associated with a robust reduction of Zhx2 expression in J mice, which we hypothesized enhances OMOR levels and OXY addiction-like behaviors.

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Inositol pyrophosphates (PP-InsPs) are a sub-family of water soluble inositol phosphates that possess one or more diphosphate groups. PP-InsPs can transfer their β-phosphate group to a phosphorylated Ser residue to generate pyrophosphorylated Ser. This unique post-translational modification occurs on Ser residues that lie in acidic stretches within an intrinsically disordered protein sequence.

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Background: Suboptimal pre-pregnancy health, including substance use and cardiovascular risk factors, is associated with higher risks of maternal-foetal morbidity and mortality.

Objective: To determine if pre-pregnancy substance use is associated with early pregnancy cardiovascular health (CVH). It is hypothesised that pre-pregnancy use of substances is associated with worse CVH in the first trimester of pregnancy.

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The Rhynie Chert (Lower Devonian, Scotland) hosts a remarkably well-preserved early terrestrial ecosystem. Organisms including plants, fungi, arthropods, and bacteria were rapidly silicified due to inundation by silica-rich hot spring fluids. Exceptional molecular preservation has been noted by many authors, including some of the oldest evidence of lignin in the fossil record.

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Aim: The current study explores niclosamide's neuroprotective potential in an animal model of autism spectrum disorder (ASD) and goes further to understand how the ERK/MAPK signaling pathway is thought to contribute to this activity.

Methods: In order to create an autism-like phenotype in rats, 4 μl of 1 M PPA was infused intracerebroventricularly. The oral treatment with niclosamide (50 and 100 mg/kg) and risperidone (1 mg/kg) (used as standard) was given from 3rd to 30th day.

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Black rice is a highly nutritious cereal that has been introduced to Nepal recently. Due to its late introduction, only a few agronomic research have been conducted so far. Hence, farmers are not aware about the appropriate transplanting methods and cropping geometry for profitable black rice cultivation.

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