Publications by authors named "Gunasekaran D"

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  • Lung masses can be benign or malignant, and Multi-detector CT (MDCT) plays a critical role in helping to differentiate between these types, although histopathological confirmation through biopsy is often necessary for a definitive diagnosis.
  • The study aimed to evaluate the diagnostic accuracy of MDCT in distinguishing benign from malignant lung masses and to correlate imaging findings with results from CT-guided biopsies.
  • Conducted over 17 months with 52 patients, the study used descriptive statistics to analyze the effectiveness of CT-guided biopsies and the diagnostic performance of MDCT in identifying thoracic lesions.
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  • Spinal dysraphism refers to a range of congenital spinal and spinal cord defects caused by incomplete neural tube closure during early development.
  • The text presents a case study of a 15-year-old male with various congenital spinal anomalies, emphasizing the complexity of his condition.
  • It highlights the importance of multimodal imaging, particularly MRI, in accurately diagnosing and managing these anomalies, which include issues like scoliosis and spina bifida occulta.
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  • * A 22-year-old woman experienced skin changes and discomfort in her right gluteal area after an intramuscular injection, raising suspicion of morphea.
  • * MRI scans showed skin thickening and inflammation, aiding in distinguishing between active disease and fibrosis, highlighting the role of MRI in managing morphea.
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  • The study compares dynamic contrast-enhanced computed tomography (DCE-CT) and conventional contrast-enhanced computed tomography (CE-CT) for evaluating neck lesions, suggesting that DCE-CT may offer better diagnostic accuracy due to its ability to assess tissue dynamics over time.
  • Conducted on 100 patients, the research found that DCE-CT identified more lesions and had higher sensitivity (93.33%) and specificity (96.00%) compared to CE-CT (sensitivity 86.67%, specificity 92.00%).
  • DCE-CT was shown to improve treatment plans in 40% of cases and resulted in better patient outcomes (75% improvement) compared to CE-CT
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Introduction The prevalence and clinical significance of fetal posterior cerebral artery (FPCA) variants are studied using magnetic resonance imaging (MRI) at Saveetha Medical College. This research focuses on the fetal origin of the posterior cerebral artery (PCA), a condition where the posterior communicating artery (PComA) is larger than the P1 segment of the PCA, affecting cerebral hemodynamics and associated with various cerebrovascular pathologies. Materials and methods This retrospective analysis employed MRI records from the Department of Radio Diagnosis at Saveetha Medical College, conducted between January 2013 and December 2023.

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Introduction Preeclampsia is a serious complication marked by antepartum hemorrhage, resulting in severe maternal and fetal complications. Predicting this condition using placental dysfunction assessments, such as uterine artery Doppler ultrasound, is challenging due to the placenta's evolving structural and biochemical characteristics throughout different stages of pregnancy. Objectives To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the uterine artery Doppler Pulsatility Index (PI) and Resistive Index (RI) in predicting preeclampsia.

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Whole-genome sequencing is widely used to investigate population genomic variation in organisms of interest. Assorted tools have been independently developed to call variants from short-read sequencing data aligned to a reference genome, including single nucleotide polymorphisms (SNPs) and structural variations (SVs). We developed SNP-SVant, an integrated, flexible, and computationally efficient bioinformatic workflow that predicts high-confidence SNPs and SVs in organisms without benchmarked variants, which are traditionally used for distinguishing sequencing errors from real variants.

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  • - Diarrheagenic E. coli infections contribute to antibiotic resistance, prompting a need for better monitoring tools that can quickly identify both the pathogen and its antibiotic resistance at the point of care (POC).
  • - Researchers developed an electrochemical chip-based biosensor that detects enteropathogenic E. coli (EPEC) and its resistance to β-lactam antibiotics by using specific antibodies and a unique dual-channel setup for accurate and simultaneous analysis.
  • - The biosensor employs electrochemical techniques, demonstrating effective detection limits for identifying pathogenic bacteria and their antibiotic resistance markers, potentially aiding in controlling the spread of infections.
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We present a rare and unusual case of thrombotic microangiopathy (TMA) in a patient who ingested chafing fuel containing diethylene glycol. The patient showed a typical clinical course of initial gastrointestinal symptoms followed by acute kidney injury (AKI) and peripheral sensorimotor neuropathy. A kidney biopsy showed TMA and diffuse acute tubular injury.

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Background: Respiratory Distress Syndrome (RDS) is a leading cause of death in premature infants. There are different clinical/ biochemical markers associated with the RDS. One of the potential biochemical markers is cortisol in cord blood.

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  • Leukocyte adhesion deficiency (LAD) is a disorder that affects neutrophil function, leading to difficulty in leukocytes sticking to blood vessel walls, which results in recurrent infections, particularly from bacteria like Staphylococcus aureus and Pseudomonas aeruginosa.
  • A specific condition discussed is ecthyma gangrenosum (EG), which presents as a painful skin ulcer with a black center and red halo, often linked to severe bacterial infections.
  • The case report highlights an atypical instance of LAD type-1 presenting with extensive EG in the perineum, caused by Staphylococcus hominis, and successfully treated using a combination of granulocyte transfusion and a diversion col
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Purpose Of Review: To discuss new and emerging technologies for blood pressure measurement and monitoring, including the limitations of current blood pressure measurement techniques, hopes for new device technologies, and the current barriers impeding change in this space.

Recent Findings: A number of new cuffless devices are being developed and poised to emerge on the marketplace in coming years. There are several different types of technologies and sensors currently under study.

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The irregular expression of bone matrix proteins occurring during the mineralization of bone regeneration results in various deformities which poses a major concern of orthopedic reconstruction. The limitations of the existing reconstruction practice paved a way for the development of a metal-organic composite [TQ-Sr-Fe] with Metal ions strontium [Sr] and iron [Fe] and a biomolecule Thymoquinone [TQ] in an attempt to enhance the bone mineralization due to their positive significance in osteoblast differentiation, proliferation and maturation. TQ-Sr-Fe was synthesized by in-situ coprecipitation and subjected to various characterization to determine their nature, compatibility and osteogenic efficiency.

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  • - The study aimed to find out how common Iron Deficiency (ID) is in non-pale children aged 9-11 using new blood tests, specifically serum ferritin, soluble transferrin receptor (sTfR), and the sTfR-F index.
  • - Researchers analyzed blood samples from 220 healthy children and found that 57 had ID, with different results based on their C-Reactive Protein (CRP) levels indicating inflammation.
  • - The study concluded that the new tests (sTfR and sTfR-F index) had low accuracy as individual predictors of ID, identifying only 25.9% of children with the deficiency.
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Varicella infection can present with a variety of neurological manifestations, the most common of which are cerebellitis and encephalitis. A 12-year-old girl presented with headache, altered sensorium, blurring of vision and status epilepticus 2 weeks after she developed varicella lesions. Imaging demonstrated cerebral venous sinus thrombosis involving the left transverse sinus, sigmoid sinus and internal jugular vein with a haemorrhagic infarct in the left parieto-occipital region.

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Background & Aims: Acute kidney injury (AKI) in cirrhosis is common and associated with high morbidity, but the incidence rates of different etiologies of AKI are not well described in the US. We compared incidence rates, practice patterns, and outcomes across etiologies of AKI in cirrhosis.

Methods: We performed a retrospective cohort study of 11 hospital networks, including consecutive adult patients admitted with AKI and cirrhosis in 2019.

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Background: Many psychiatric patients continue to stay for longer duration in psychiatric institutions. Community reintegration and rehabilitation of such patients needs to be explored to ensure appropriate bed occupancy rates and access to in-patient care for newer patients in need of the same.

Objectives: The aim is to identify the risk and protective factors leading to long-term admission of mentally ill patients in tertiary care hospital.

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Leptospirosis is a widespread zoonotic disease caused by pathogenic Leptospira. Early and accurate diagnosis is the prime step in managing the disease. Secretory proteins of Leptospira remain distinguished for diagnosis due to their availability as soluble proteins in the serum and their interaction with the host immune response due to their extracellular presence.

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The pristine Human Amniotic Membrane (HAM) has portrayed outstanding potential as scaffold for ocular surface reconstruction and regeneration. However, in treatment procedures where the supporting membrane matrix of HAM is not obligatory and only the bioactive molecules are vital, the surgical practise of HAM grafting causes redundant trauma and economic burden to the patient. Hence, in our laboratory we have attempted to break down HAM to nanoscale particles and validate its potential as a competent ocular therapeutic agent; by conducting a comparative analysis between the fresh, lyophilized, micronized and Nanonized Amniotic Membrane (NAM) particles.

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Scrub typhus is being reported as the most common cause of childhood meningoencephalitis (ME) in India. Hence, we planned to estimate the proportion of scrub typhus infection among children aged 1 month to 12 years with the clinical diagnosis of ME and to evaluate their demographic, clinical and laboratory characteristics. This cohort study was conducted in the Department of Pediatrics of a tertiary care teaching hospital in south India.

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Background: Vaccine hesitancy affects immunization programs worldwide and can impact vaccine coverage and fight against Coronavirus disease 2019 (COVID-19) too.

Objectives: Primary objectives: To find out the magnitude of COVID-19 vaccine hesitancy among the Health Care Worker Parents (HCWPs), the reasons for vaccine hesitancy, and their perceptions regarding COVID-19 vaccination of their children.

Secondary Objective: To analyze the clinic-socio-demographic correlates of COVID-19 vaccine hesitancy among HCWPs.

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