Publications by authors named "Iyer K"

Since their inception in the early 1960s, the development and use of nanoscale materials have progressed tremendously, and their roles in diverse fields ranging from human health to energy and electronics are undeniable. The application of nanotechnology inventions has revolutionized many aspects of everyday life including various medical applications and specifically drug delivery systems, maximizing the therapeutic efficacy of the contained drugs by means of bioavailability enhancement or minimization of adverse effects. In this review, we utilize the CAS Content Collection, a vast repository of scientific information extracted from journal and patent publications, to analyze trends in nanoscience research relevant to drug delivery in an effort to provide a comprehensive and detailed picture of the use of nanotechnology in this field.

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Positional obstructive sleep apnea, in which there is a ≥ 2:1 predominance of obstructive events in the supine position, is a sleep-disordered breathing phenotype with a targeted treatment in the form of positional device therapy. We sought to determine the prevalence of positional obstructive sleep apnea in a cohort of children prescribed continuous positive airway pressure therapy, ascertain risk factors for the condition, and determine the associated continuous positive airway pressure treatment adherence rate. A retrospective cohort study of all children > 2 years old from a single tertiary paediatric centre prescribed continuous positive airway pressure therapy over an 8-year period was conducted.

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The aim of this study was to perform a meticulous analysis and bibliometric evaluation of the top 100 most cited articles in vertical root fractures (VRFs). The bibliometric research method included 100 top-cited articles on VRFs retrieved from the Web of Science database. The key terms "vertical root fracture" OR "vertical root fractures" were used to retrieve the required dataset.

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Mutations in the skeletal isoform of the ryanodine receptor 1 (RyR1) pose grave risks during anesthesia or treatment with succinylcholine muscle relaxants. These can trigger a potentially lethal malignant hyperthermia (MH) episode via intracellular calcium increase mainly from RyR1 channel leakage. Dantrolene is the only known treatment option to prevent death.

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Multiple sclerosis is an inflammatory, autoimmune demyelinating condition and poses diagnostic challenges due to varied presentations. This case report presents a divergence from typical clinical presentations of multiple sclerosis (MS), as the initial presentation resembled symptoms of a brain stem stroke. Conventionally, MS suspicion arises in the presence of previous neurological deficits or signs of optic neuritis.

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Background: Nasal continuous positive airway pressure (CPAP) injuries are common for premature infants. Clinical use of three-dimensional (3D) scanning is established in adult medicine, but the possibilities in neonatal care are still emerging. Custom printed CPAP devices have the potential to reduce injuries and disfigurement in this vulnerable population.

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The most distant galaxies detected were seen when the Universe was a scant 5% of its current age. At these times, progenitors of galaxies such as the Milky Way were about 10,000 times less massive. Using the James Webb Space Telescope (JWST) combined with magnification from gravitational lensing, these low-mass galaxies can not only be detected but also be studied in detail.

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Despite the large number of studies that have been done in this area, there is still a gap in the literature when it comes to comparing the orthodontic tooth movement (OTM) efficacy of Invisalign and fixed orthodontic appliances. The primary objectives of this study were to evaluate and compare the efficacy of Invisalign and fixed orthodontic appliances in terms of the amount and rate of OTM. Specifically, the study aimed to determine if there was a statistically significant difference between these two treatment modalities in achieving OTM and to assess whether treatment duration differs significantly between Invisalign and traditional fixed appliances.

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  • Anatomical shape analysis is important in clinical research for understanding how form affects function, and traditional shape modeling methods are often complex and biased due to their reliance on manual processes and assumptions.* -
  • Recent advances in deep learning have improved shape modeling from medical images but typically require a fully supervised training process, which still involves the limitations of traditional methods.* -
  • The new approach introduces weakly supervised deep learning for shape modeling, using point cloud supervision to simplify the process and achieve accurate predictions without strong supervision while effectively capturing shape variability.*
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  • A systematic review and meta-analysis was conducted to assess in-hospital mortality rates for common cardiac surgeries related to congenital heart disease (CHD) in India, revealing a pooled mortality rate of 5.63%, which is significantly higher than the 2.65% found in Western databases.
  • Over 135 studies involving 30,587 patients were analyzed, with specific mortality rates for surgeries like ventricular septal defect closure (2.87%) and tetralogy of Fallot repair (4.61%) also higher than Western standards.
  • The study concludes that there is a need for prospective multicentric data to understand the reasons for the higher mortality and calls for systemic improvements to enhance surgical outcomes for CHD in India.
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The study of physiology demonstrates that the form (shape) of anatomical structures dictates their functions, and analyzing the form of anatomies plays a crucial role in clinical research. Statistical shape modeling (SSM) is a widely used tool for quantitative analysis of forms of anatomies, aiding in characterizing and identifying differences within a population of subjects. Despite its utility, the conventional SSM construction pipeline is often complex and time-consuming.

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Background: Most tyrosine kinase inhibitors (TKIs) have failed in clinical trials for metastatic colorectal cancer (mCRC). To leverage the additional lower-affinity targets that most TKIs have, high-dose regimens that trigger efficacy are explored. Here, we studied unprecedented drug exposure-response relationships in vitro using mCRC patient-derived tumour organoids (PDTOs).

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Statistical shape modeling (SSM) is a powerful computational framework for quantifying and analyzing the geometric variability of anatomical structures, facilitating advancements in medical research, diagnostics, and treatment planning. Traditional methods for shape modeling from imaging data demand significant manual and computational resources. Additionally, these methods necessitate repeating the entire modeling pipeline to derive shape descriptors (e.

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The increasing population and urbanization have created a massive gap in the demand-supply model of food grains. The world is facing an acute problem with global warming and EI Nino effects, which have affected the equilibrium of the food chain. It is a need of the hour to introduce new reforms in farming to reap increased yields and reduce dependency on natural resources.

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Background: Oral Submucous Fibrosis (OSMF) is an oral potentially malignant disorder (OPMD) that commonly occurs in the South Asian population as there is high usage of areca nut. There has been extensive research on the pathogenesis and treatment of this condition. It is well-established in the scientific literature that mast cells (MC) have a definitive role in several inflammatory disorders.

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  • Whole genome sequencing (WGS) helps identify rare genetic variants that may explain the missing heritability of coronary artery disease (CAD) by analyzing 4,949 cases and 17,494 controls from the NHLBI TOPMed program.
  • The study estimates that the heritability of CAD is around 34.3%, with ultra-rare variants contributing about 50%, especially those with low linkage disequilibrium.
  • Functional annotations show significant enrichment of CAD heritability, highlighting the importance of ultra-rare variants and specific regulatory mechanisms in different cells as major factors influencing genetic risk for the disease.
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  • This study focuses on identifying different immune profiles in sepsis patients based on their body temperature patterns to potentially enable more targeted treatments.
  • Researchers categorized 3,576 hospitalized patients with suspected infections into four distinct temperature trajectory subphenotypes and assessed their clinical outcomes and biomarker levels.
  • Findings revealed significant differences in mortality rates among these subphenotypes, with the highest mortality in hypothermic patients and notable differences in 20 specific biomarkers across the temperature groups, highlighting the complexity of sepsis.
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  • - This systematic review evaluated the effectiveness of three external stimulation techniques—electrical stimulation (ES), optogenetic stimulation (OS), and magnetic stimulation (MS)—for promoting peripheral nerve regeneration (PNR) following injuries, using data from studies published between 2018 and 2023.
  • - A total of 19 studies were reviewed, revealing that while ES generally improved recovery across measures, high-frequency repetitive magnetic stimulation (HFr-MS) showed accelerated nerve repair, and OS was noted for better functional recovery outcomes.
  • - The review highlights the need for standardized testing methods due to limitations in the available data and varied evaluation techniques, suggesting that these external stimulations could significantly enhance recovery for patients with nerve injuries.
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  • Dupuytren's disease (DD) is a disorder affecting the connective tissue in the hand, with unclear causes, and studies indicate that WNT4, a part of WNT signaling, may play a role in the disease.
  • The research involved isolating fibroblasts from both healthy individuals and those with DD in a family setting, using WNT4 siRNA to analyze gene expression changes through RNA sequencing.
  • Findings revealed that normal fibroblasts showed significant changes towards a 'DD-like' state when WNT4 was downregulated, suggesting that loss of WNT4 expression is a critical factor in the onset of Dupuytren's disease.
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  • - U-Sleep, an automated sleep stager, was tested for accuracy against trained human scorers using a dataset of 50 pediatric polysomnograms and a larger clinical dataset of 3114 polysomnograms to see if it can effectively replace human analysis.
  • - The study found that U-Sleep's performance was statistically equivalent to human scorers with a kappa statistic of 0.79 compared to 0.78 for humans, indicating it was reliable for sleep staging in children.
  • - However, U-Sleep's accuracy decreased in children under 2 years and those with sleep-related health issues, suggesting it can be utilized clinically for pediatric patients, but caution is needed for specific subgroups.
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TBK1, or TANK-binding kinase 1, is an enzyme that functions as a serine/threonine protein kinase. It plays a crucial role in various cellular processes, including the innate immune response to viruses, cell proliferation, apoptosis, autophagy, and antitumor immunity. Dysregulation of TBK1 activity can lead to autoimmune diseases, neurodegenerative disorders, and cancer.

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  • Prisons in Victoria, Australia, have implemented a statewide nurse-led model of care since 2015 to enhance hepatitis C testing and treatment among inmates, crucial for elimination efforts.
  • From 2015 to 2021, 3,133 DAA treatment courses were prescribed to 2,768 inmates, with a significant increase in prescriptions over the years and a median age of treated individuals being 39.
  • The program achieved a 93% success rate in sustained viral response (SVR12), demonstrating the effectiveness of decentralized, nurse-led initiatives in tackling hepatitis C in high-prevalence settings like prisons.
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Antisense oligonucleotides (ASOs) are a well-established therapeutic modality based on RNA interference, but low cellular uptake, limited ability to direct ASO trafficking, and a range of intracellular barriers to successful activity compromise both gene silencing outcomes and clinical translations. Herein, we demonstrate that polymers can increase ASO internalisation intracellular trafficking pathways that are distinct from lipid-based delivery reagents. For the first time, we spatially define internalisation and dissociation stages in the polymer-mediated cytosolic delivery of ASOs using Nanoscale Secondary Ion Mass Spectrometry (NanoSIMS), which enables visualisation of ASO localisation at the organelle level.

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Central nervous system (CNS) injuries and neurodegenerative diseases have markedly poor prognoses and can result in permanent dysfunction due to the general inability of CNS neurons to regenerate. Differentiation of transplanted stem cells has emerged as a therapeutic avenue to regenerate tissue architecture in damaged areas. Electrical stimulation is a promising approach for directing the differentiation outcomes and pattern of outgrowth of transplanted stem cells, however traditional inorganic bio-electrodes can induce adverse effects such as inflammation.

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