Publications by authors named "Jayaram A"

Introduction: As family dynamics evolve, an increasing number of male residents are embracing parenthood during their training. Consequently, paternity leave has emerged as a crucial consideration. The aim of this study was to determine the gap in public availability of paternity leave policies in surgical residency programs across the United States.

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As the field of artificial intelligence evolves rapidly, these hallmarks are intended to capture fundamental, complementary concepts necessary for the progress and timely adoption of predictive modeling in precision oncology. Through these hallmarks, we hope to establish standards and guidelines that enable the symbiotic development of artificial intelligence and precision oncology.

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DOCK8 deficiency is the most common cause of autosomal recessive hyper-IgE syndrome (AR-HIES). The clinical spectrum is wide resulting in combined immunodeficiency, atopy, autoimmunity, and malignancies. To study the clinical and molecular profile of 20 patients with DOCK8 deficiency.

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We fabricated radially transformed growth of MoS to MoS-MoO by the two-zone chemical vapor transport (CVT) technique. The idea to apply heat, i.e.

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  • * A case study is discussed where hemolytic anemia, thought to be drug-related, was actually linked to a subclinical form of PNH, highlighting the need for careful diagnosis.
  • * The importance of retesting for PNH in cases of autoimmune hemolytic anemia (AIHA) is emphasized, as detecting PNH can influence treatment options and improve patient outcomes.
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  • The Aedes mosquito genus is a major global health threat in the 21st century, especially due to the widespread transmission of diseases by species like Ae. aegypti and Ae. albopictus, which are expanding due to climate changes.
  • This study utilized bioclimatic variables and a species distribution model to predict the geographical spread of these mosquitoes in India, finding that Ae. aegypti is set to have a broader distribution compared to Ae. albopictus by 2100.
  • The models forecast a significant increase in suitable habitats for both species under various future climate scenarios, highlighting the need for effective vector distribution strategies to prepare for potential outbreaks.
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Background And Objective: The PRESIDE (NCT02288247) randomized trial demonstrated prolonged progression-free survival (PFS) with continuing enzalutamide beyond progression in metastatic castration-resistant prostate cancer (mCRPC) patients starting docetaxel. This study aims to test the associations of PFS and circulating tumor DNA (ctDNA) prior to and after one cycle (cycle 2 day 1 [C2D1]) of docetaxel and with a liquid biopsy resistance biomarker (LBRB; plasma androgen receptor [AR] gain and/or circulating tumor cells [CTCs] expressing AR splice variant 7 [CTC-AR-V7]) prior to continuation of enzalutamide/placebo.

Methods: Patients consenting to the biomarker substudy and donating blood before starting docetaxel with enzalutamide/placebo (N = 157) were included.

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The rise of drug-resistant microorganisms has prompted the development of innovative strategies with the aim of addressing this challenge. Among the alternative approaches gaining increased attention are antimicrobial peptides (AMPs), a group of peptides with the ability to combat microbial pathogens. Here, we investigated a small peptide, KLVFF, derived from the Alzheimer's amyloid-β (Aβ) protein.

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Influenza virus is a well-known pathogen that can cause epidemics and pandemics. Several surveillance methods are being followed to monitor the transmission patterns and spread of influenza in the community. Wastewater-based Epidemiology (WBE) can serve as an additional tool to detect the presence of influenza viruses.

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  • The study examines how active Brownian particles behave when trapped in a soft, annulus-shaped channel, uncovering unique properties due to confinement.
  • A new "reentrant behavior" is noted, which doesn't occur in systems without confinement, suggesting a complex relationship between confinement strength and particle dynamics.
  • The results are supported by simulations and analyses, demonstrating that interactions between the Péclet number and the confining dimensions can prevent clogging at soft boundaries.
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Background: Dengue virus (DENV) infection is an important public health problem and causes significant morbidity and mortality. DENV typically causes a febrile illness that ranges from mild asymptomatic infection to fatal dengue hemorrhagic fever (DHF) and/or dengue shock syndrome (DSS). Early prediction of severe dengue disease is of utmost importance for providing prompt monitoring and treatment.

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  • A study was conducted to evaluate how travel distance to the hospital impacts outcomes for patients undergoing lower extremity revascularization for chronic limb-threatening ischemia (CLTI), with a focus on patients traveling more than or less than 30 miles.
  • Among 1,293 patients analyzed, those traveling longer distances (over 30 miles) were generally younger, more likely to undergo open surgery, and experienced a longer hospital stay but shorter follow-up periods.
  • Key findings indicated that while there was no significant difference in restenosis or reinterventions at 5 years, longer travel distances were linked to higher rates of major amputation and mortality.
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  • An estimated 5 billion people worldwide do not have access to safe surgical care, highlighting the need for increased interest in global surgery among medical students.
  • A survey of 708 medical students across 38 US institutions revealed that 34.6% expressed interest in global surgery, with demographic factors like Hispanic/Latino ethnicity and birthplace influencing this interest.
  • Prior experience in low or middle-income countries, along with public health and international service activities, were significant predictors of students' interest in global surgery, suggesting that medical educators should enhance global health opportunities for students.
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  • Active fluids can create stable traveling bands that lead to unique transport behaviors and currents.
  • These bands produce a particle current that moves in a direction perpendicular to the band’s movement, similar to the Hall effect.
  • The study demonstrates that these bands transition to synchronized states under certain conditions and can be explained using a basic hydrodynamic theory that relates to soliton solutions.
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Parkinson's disease (PD) is an increasingly prevalent and currently incurable neurodegenerative disorder linked to the accumulation of α-synuclein (αS) protein aggregates in the nervous system. While αS binding to membranes in its monomeric state is correlated to its physiological role, αS oligomerization and subsequent aberrant interactions with lipid bilayers have emerged as key steps in PD-associated neurotoxicity. However, little is known of the mechanisms that govern the interactions of oligomeric αS (OαS) with lipid membranes and the factors that modulate such interactions.

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Background Objectives: Scrub typhus is clinically undifferentiated from other aetiologies for acute febrile illness such as enteric fever, dengue, malaria, and leptospirosis. Rapid ELISA tests are being used as an alternative to immunofluorescence assay in tropical countries.

Methods: In this study, we compared and evaluated commercially available InBios Scrub Typhus Detect IgM Rapid Test (USA) for diagnosing human scrub typhus infection using archived and prospectively collected samples against the reference standard, InBios Scrub Typhus Detect IgM ELISA (USA).

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Interest in global surgery has surged amongst academics and practitioners in high-income countries (HICs), but it is unclear how frontline surgical practitioners in low-resource environments perceive the new field or its benefit. Our objective was to assess perceptions of academic global surgery amongst surgeons in low- and middle-income countries (LMICs). We conducted a cross-sectional e-survey among surgical trainees and consultants in 62 LMICs, as defined by the World Bank in 2020.

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We present a novel, eco-friendly and one-pot approach for synthesizing unsymmetrical oxalamides with the aid of dichloroacetamide and amine/amides in the presence of CBr in a basic medium. The use of water as a potent supplement for the oxygen atom source and the detailed mechanism have been disclosed. Moreover, the protocol involves triple cleavage of CClBr and the formation of new C-O/C-N bonds, with the advantage of achieving selective bromination using CBr with good to excellent yield under mild conditions.

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Secondary hypertension can occur from a variety of renal and endocrine disorders. Pheochromocytoma, a rare catecholamine-secreting neuroendocrine tumor, is associated with adverse maternal and fetal outcomes in the absence of a timely diagnosis and a coordinated multidisciplinary approach. Clues to diagnosis include resistant hypertension or an adrenal mass on imaging.

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Background: The presumptive diagnosis of hemoglobinopathies relies on routine tests such as Complete Blood Count (CBC), peripheral blood smear, Liquid Chromatography (LC), and Capillary Electrophoresis (CE), along with clinical findings. Pathologists suggest molecular sequencing of HBA and HBB genes to correlate blood picture with clinical findings in order to identify unknown rare haemoglobin (Hb) variants or variants that coelute with Hb. This paper presents a low-resolution mass spectrometry (MS)-based method for presumptive identification of variants that eluted in zone 12 of CE, followed by molecular sequencing of the HBB gene for a definitive diagnosis of hemoglobinopathies.

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Background: Community-based peer support (CBPS) groups have been effective in facilitating access to and retention in the healthcare system for patients with HIV/AIDS, cancer, diabetes, and other communicable and non-communicable diseases. Given the high incidence of morbidity that results from traumatic injuries, and the barriers to reaching and accessing care for injured patients, community-based support groups may prove to be similarly effective in this population.

Objectives: The objective of this review is to identify the extent and impact of CBPS for injured patients.

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Antimicrobial resistance is a leading threat to global health. Alternative therapeutics to combat the rise in drug-resistant strains of bacteria and fungi are thus needed, but the development of new classes of small molecule therapeutics has remained challenging. Here, we explore an orthogonal approach and address this issue by synthesising micro-scale, protein colloidal particles that possess potent antimicrobial properties.

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