Publications by authors named "Chandrasekhar P"

The buccal cavity, also known as the oral cavity, is a complex anatomical structure that plays a crucial role in various physiological processes. It serves as a gateway to the digestive system and facilitates the initial stages of food digestion and absorption. However, its significance extends beyond mere digestion as it presents a promising route for drug delivery, particularly to the brain.

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Background: Diffusion-weighted imaging (DWI) is the random Brownian motion of water molecules within a tissue voxel. The apparent diffusion coefficient (ADC) is a quantitative parameter calculated from the DWI that directly reflects the mobility of water molecules in biological tissues. The objective of this study was to establish and compare the normal reference ADC values of fetal organs and the placenta using 1.

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Dens in dente is a developmental dental anomaly which poses a challenge for the endodontist due to its complex pulpal anatomy. In this case report, a class 2 dens in dente was managed nonsurgically. A 32-year-old female reported with a palatal swelling and pain in the upper front region of the jaw.

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Background: This study presents findings on improvements to the Frontal and Sagittal Cobb angle, Global Spinal balance, and lung function parameters (FEV1, PEF) in an adult male with idiopathic scoliosis suffering from pain during ADL and sports activities who was treated with a biomechanically designed exercise protocol.

Case Presentation: The 26-year-old male reported upper and middle back pain which worsened when playing cricket. Whole spine standing x-Ray AP view revealed a right thoracic Scoliosis (Lenke 1 curve) of Cobb angle 48.

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Background: Breast cancer is a major public health concern in both developing and developed countries. The mortality rate of breast cancer is high in India due to late detection, and lack of knowledge about the screening mammography. The objective of this study was to develop and establish the psychometric properties of the tool.

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Context: The diagnosis of giant cell tumor of bone (GCTB) is difficult in small biopsies with unusual age of presentation, location, and extensive secondary changes. Most of the GCTBs harbor H3F3A G34W mutations with a subset of cases showing alternate G34V, G34R, and G34L mutations.

Objectives: To analyze the expression of anti-histone H3.

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Immune checkpoint blockade (ICB) has become well-known in cancer therapy, strengthening the body's antitumor immune response rather than directly targeting cancer cells. Therapies targeting immune inhibitory checkpoints, such as PD-1, PD-L1, and CTLA-4, have resulted in impressive clinical responses across different types of solid tumors. However, as with other types of cancer treatments, ICB-based immunotherapy is hampered by both innate and acquired drug resistance.

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Context: This study was carried out to assess the currently available composite systems in India for resistance to fracture in teeth with large cavities.

Aim: To evaluate the fracture toughness of weakened maxillary premolars restored by contemporary composites.

Settings And Design: study was done in the department of conservative dentistry and endodontics.

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Article Synopsis
  • Sealer penetration into dentinal tubules helps prevent bacterial leakage by filling in the pathways within the teeth.
  • The study evaluated the effectiveness of five different root canal sealers in penetrating these tubules using advanced microscopy techniques.
  • Results showed that AH Plus and MTA-Fillapex had the best penetration, while ZOE and Sealapex had the least, with none fully penetrating the tubules.
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A series of nickel oxide (NiO) inks, in the perovskite antisolvent chlorobenzene (CB) containing 15% ethanol, were prepared for the fabrication of p-i-n perovskite solar cells by blade coating. The inks included triethylamine (EtN) and alkyl xanthate salts as ligands to disperse NiOparticle aggregates and stabilize suspension. A total of four inks were evaluated: 0X (EtN with no alkyl xanthate), 4X (EtN + potassium-butyl xanthate), 12X (EtN + potassium-dodecyl xanthate), and 18X (EtN + potassium-octadecyl xanthate).

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Article Synopsis
  • The study analyzed 365 cases of metastatic bone tumors over two decades, focusing on clinical features and primary cancer sites in cases of unknown origin.
  • The spine was found to be the most commonly affected area, and metastatic disease was the initial presentation for 69.5% of patients, with the primary cancer identified in only 220 cases.
  • Immunohistochemistry (IHC) helped determine the likely origin of tumors in nearly 27.4% of patients with unknown primary sites, highlighting the significance of thorough testing for effective treatment strategies.
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Article Synopsis
  • *Method*: Researchers analyzed cases of giant cell-containing bone lesions using P63 immunohistochemistry, assessing the nuclear positivity percentage in the non-giant cell components and applying statistical analysis.
  • *Results*: Out of 53 cases, GCTB exhibited significantly higher P63 labeling (52.6%) compared to other lesions, such as chondroblastomas and aneurysmal bone cysts, suggesting that a positivity threshold of over 50% may indicate a GCTB diagnosis.
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Agent of choice for thrombolytic therapy (TT) in prosthetic valve thrombosis (PVT) is unknown. 84 mitral obstructive-PVT episodes treated with TT (43: Tenecteplase; 41: Streptokinase) were included in this prospective study. The incidence of primary end-point (CCS: complete clinical success, defined as complete or partial hemodynamic success with no complications or surgery) was 84.

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Introduction: Peripartum cardiomyopathy (PPCM) is an important cause of maternal mortality and morbidity. But, there is a paucity of prospective data on outcomes and prognostic markers in patients receiving contemporary evidence-based therapy, particularly in developing countries.

Methods: This was a single centre, prospective, cohort study on 43 PPCM patients who were followed for 6 months.

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Aim: The aim of this preliminary study was to compare outcomes of two regenerative endodontic protocols in necrotic teeth with open apices.

Methodology: Forty teeth with open apices in patients with an age range of 15-54 were randomly distributed in two groups: group 1, with whole blood clot in the canal (=20) and group 2, whole blood with Platelet rich plasma (PRP) in the canal (=20). Clinical and radiological follow up assessments were undertaken over a period ranging from 6 months to one year.

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Antiphospholipid syndrome (APLS) is characterized by recurrent thrombosis. We report the case of a 36-year-old male who had acute right-sided ischemic stroke and right leg ischemia secondary to left ventricular (LV) thrombus caused by primary APLS. The literature review suggested that the LV thrombus presented most commonly with systemic embolism and was associated with a mortality rate of 22.

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Right atrial volume/Left atrial volume (RAV/LAV) ratio is a good hemodynamic parameter in acute pulmonary thromboembolism (PTE), whose prognostic ability by 2D echocardiography is not studied to date. We conducted a 27 month, prospective observational study on 55 eligible acute PTE thrombolysed (29: Tenecteplase; 26: Streptokinase) patients. The primary endpoint was a composite of in-hospital death and poor right ventricular reverse remodelling at the time of discharge.

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Surface soil structure is very responsive to natural and anthropogenic impacts and these changes alter soil hydraulic properties and the soil water budget. In the midst of a dearth of efforts to capture soil structural dynamics, an analytical solution to the Fokker-Planck Equation with physically-based coefficients has shown promising results in predicting the evolution of soil pore space in agricultural soils. In this study, the Python code for the analytical solution is shown along with steps to estimate coefficients leading towards obtaining the analytical solution.

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Cytochromes P450 are versatile heme-based enzymes responsible for vital life processes. Of these, P450cam (substrate camphor) has been most studied. Despite this, precise mechanisms of the key O─O cleavage step remain partly elusive to date; effects observed in various enzyme mutants remain partly unexplained.

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Background And Aims: Although no pain control following hip and knee replacement surgeries has attained gold standard, it is clear that patients should have optimum pain control after total knee arthroplasty and total hip arthroplasty for enhanced satisfaction and function. We conducted this study to evaluate the effect of preoperative application of buprenorphine transdermal patch on analgesic requirement in perioperative period after knee and hip replacement surgeries.

Material And Methods: Following institutional ethical committee approval and written informed consent, a prospective study was conducted in 50 patients of either gender belonging to ASA1 or ASA2 status, requiring either knee or hip replacement.

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Metachronous multicentric giant cell tumour (GCT) of bone is rare. We report a case of a 21-year-old man with metachronous multicentric GCTs, with five (including one recurrence) documented lesions reported over a span of 9 years involving various sites, which included the fifth metacarpal bone of the right hand, the intermediate cuneiform bone of the right foot, the left proximal humerus and the lateral malleolus of the right tibia. The radiological appearance of these lesions in these various sites with correlation among clinical history, histopathology and the treatment approach is described in this report.

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The role of the surface plasmon resonance (SPR) of gold nanorods (Au NRs) on the performance of Y123 dye-sensitized solar cells (DSSC) was investigated. DSSCs were fabricated by incorporating different concentrations (0.6 to 3.

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The self-assembly of a rigid and trigonal prismatic triptycene-hexaacid H THA with Co(NO ) or Mn(NO ) leads to isostructural metal-organic frameworks (MOFs) that are sustained by 6-connecting metal cluster [M (μ -O)(COO) ] secondary building units (SBUs). The Co- and Mn-MOFs, constructed from organic and metal-cluster building blocks that are both trigonal prismatic, correspond to the heretofore unknown "tsg" topology. Due to the rigidity and concave attributes of H THA, the networks in the Co- and Mn-MOFs are highly porous and undergo 3-fold interpenetration.

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A highly luminescent and water-stable homochiral Zn-MOF, , , has been developed based on a pyrene-tetralactic acid, which inherently features concave shapes for guest inclusion, to explore sensing of amino acids by fluorescence quenching; the solid-state fluorescence quantum yield of the MOF was found to be 46%. The fluorescence of an aqueous suspension of was shown to be quenched specifically by histidine amongst all the other amino acids. Selective sensing of histidine is of prime importance due to its relevance in a variety of biological functions.

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