Publications by authors named "Kalra D"

Article Synopsis
  • Life course immunisation emphasizes the importance of vaccination across generations, advocating for more robust data collaboration and interdisciplinary approaches.
  • Advancements in AI, like machine learning and natural language processing, can improve how we analyze data and monitor vaccination in real-time.
  • The GRADE process is crucial for public health decision-making and should incorporate real-world data to better address the diverse needs of populations and ensure effective vaccination strategies.
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Background: Data quality is fundamental to maintaining the trust and reliability of health data for both primary and secondary purposes. However, before the secondary use of health data, it is essential to assess the quality at the source and to develop systematic methods for the assessment of important data quality dimensions.

Objective: This case study aims to offer a dual aim-to assess the data quality of height and weight measurements across 7 Belgian hospitals, focusing on the dimensions of completeness and consistency, and to outline the obstacles these hospitals face in sharing and improving data quality standards.

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Background: Multiplexed Assays of Variant Effects (MAVEs) can test all possible single variants in a gene of interest. The resulting saturation-style functional data may help resolve variant classification disparities between populations, especially for Variants of Uncertain Significance (VUS).

Methods: We analyzed clinical significance classifications in 213,663 individuals of European-like genetic ancestry versus 206,975 individuals of non-European-like genetic ancestry from All of Us and the Genome Aggregation Database.

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Purpose Of Review: To summarize selected late-breaking science on cardiovascular disease (CVD) prevention presented at the 2024 European Society of Cardiology (ESC) Congress.

Recent Findings: Key studies from the 2024 ESC Congress highlight advances in (CVD) management. Apolipoprotein A-1 infusions reduced risk in acute myocardial infarction patients with high LDL cholesterol.

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Article Synopsis
  • A narrative review analyzed peer-reviewed studies to explore how sleep-disordered breathing (SDB) links to cardiac arrhythmias through factors like intermittent hypoxia and autonomic imbalance.
  • Patients with SDB face significantly higher risks for various heart rhythm issues, with more than double the chance of overall arrhythmias and a quadrupled risk of atrial fibrillation (AF).
  • CPAP therapy is shown to be an effective treatment, reducing AF recurrence and lowering the risk of ventricular arrhythmias, emphasizing the need for early diagnosis and management of SDB to improve heart health.
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A 43-year-old male patient with no known past medical history presented to the emergency department with new-onset bitemporal headache, dizziness, and bilateral lower extremity weakness for 1 day. The patient denied chest pain, shortness of breath, cough, or recent exposure to sick individuals. He was not on any medications and denied alcohol or illicit drug use.

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  • Cardiac amyloidosis (CA) is a challenging heart condition characterized by the buildup of amyloid proteins, leading to poor outcomes but improvements in diagnosis and treatment options are underway.
  • The article discusses treatment advancements for two main types: transthyretin cardiac amyloidosis (ATTR-CA) and light chain mediated cardiac amyloidosis (AL-CA), highlighting promising therapies for ATTR-CA that target amyloid fibril formation.
  • Current treatment for AL-CA typically involves chemotherapy, and successful management of CA relies on a team of specialists from various medical fields to address patient needs effectively.
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Article Synopsis
  • * The authors introduce "stratifications," or specific BED files, that outline different genomic contexts for GRCh37/38 and the new T2T-CHM13 reference, which includes previously challenging regions to sequence.
  • * They also compare the performance of sequencing benchmarks across these references, showing how difficult regions in CHM13 impact the overall performance, and provide a snakemake pipeline for generating stratifications to aid in optimizing sequencing platforms.
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Background: Takotsubo syndrome (TTS) is being diagnosed more often with its increased recognition over the past 2 decades and with the availability of imaging such as point-of-care echocardiography and tissue characterization by cardiovascular magnetic resonance (CMR).

Case Summary: A young man developed pericarditis and was treated with steroids. A few weeks later, he suffered classic TTS and then presented a week later with the rare complication of apical myocardial rupture and a left ventricular (LV) pseudoaneurysm.

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Article Synopsis
  • * RNA interference (RNAi) technology is emerging as a promising treatment for HTN, utilizing the body's natural gene-silencing to potentially improve blood pressure control.
  • * A systematic review of studies indicates RNAi's potential benefits, including longer-lasting effects and fewer side effects, while also addressing challenges like target specificity and delivery methods.
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  • The olfactory nerve (cranial nerve I) primarily projects to the same side of the brain, but how it processes smells can vary depending on the task and type of odor stimulus.
  • A study involving 20 young adults with normal smell used fMRI to observe brain activity while participants experienced scents through one nostril, both passively and actively.
  • Results showed that, regardless of nostril and stimulation type, both primary and secondary brain areas related to smell were activated symmetrically, indicating that pure odors are processed bilaterally in the absence of cognitive demands.
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  • Atrial fibrillation (AF) after surgery is quite common, affecting nearly 40% of patients, and it can make recovery harder and longer.
  • Causes of this include stress from surgery, effects from anesthesia, and heart problems people might already have.
  • The review talks about how to manage AF after surgery and ways to help prevent it from happening.
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Article Synopsis
  • * OSA negatively impacts brain structure and cognitive function, making it crucial to understand its role in the heart-brain connection, particularly regarding cerebral small vessel disease and neurocognitive decline.
  • * The review seeks to summarize the connections between OSA and neurocognitive disorders, explore the cardio-neural mechanisms involved, and discuss potential treatment options for affected patients.
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Adolescents with food allergies (FA) face unique challenges, including an increased risk of bullying, yet comprehensive national studies on this intersection are lacking. Our study examines the prevalence and association between FA and bullying among US high-school adolescents, utilizing Youth Risk Behavior Survey (2015-2019) data. Analyzing responses from 27,781 adolescents, we found that 19.

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Administrable dose form can be obtained after (no-)transformation from pharmaceutical dose form. Building on the creation of a small ontology of 428 pharmaceutical dose forms from EDQM to support alignment with other dose form ontologies (SNOMED-CT, RxNorm), the present study is focused on a simple ontology of 308 administrable dose forms, 27 Intended Sites and an intermediary level of 65 dose form groupers. The ontology was created after 432 pharmaceutical dose forms, 65 combined pharmaceutical dose forms and 73 combined terms were linked by EDQM to administrable dose forms during the UNICOM project.

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Aims: The development of cell therapy as a widely available clinical option for ischaemic cardiomyopathy is hindered by the invasive nature of current cell delivery methods. Furthermore, the rapid disappearance of cells after transplantation provides a cogent rationale for using repeated cell doses, which, however, has not been done thus far in clinical trials because it is not feasible with invasive approaches. The goal of this translational study was to test the therapeutic utility of the intravenous route for cell delivery.

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We report the first double-differential neutrino-argon cross section measurement made simultaneously for final states with and without protons for the inclusive muon neutrino charged-current interaction channel. The proton kinematics of this channel are further explored with a differential cross section measurement as a function of the leading proton's kinetic energy that extends across the detection threshold. These measurements use data collected with the MicroBooNE detector from 6.

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Several risk factors contribute to the development of Alzheimer's disease (AD), including genetics, metabolic health, cardiovascular history, and diet. It has been observed that women appear to face a higher risk of developing AD. Among the various hypotheses surrounding the gender disparity in AD, one pertains to the potential neuroprotective properties of estrogen.

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A 43-year-old male patient with no known past medical history presented to the emergency department with new-onset bitemporal headache, dizziness, and bilateral lower extremity weakness for 1 day. The patient denied chest pain, shortness of breath, cough, or recent exposure to sick individuals. He was not on any medications and denied alcohol or illicit drug use.

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Extant research shows that following a cerebrovascular insult to the brain, patients may develop a wide range of cognitive disorders, spanning from mild cognitive impairment (CI) to advanced dementia. Several studies have shown that atherosclerosis in the carotid, coronary, and breast arteries is associated with an increased risk of stroke, CI, and dementia. In this review, we examine the association of subclinical atherosclerotic calcification detected by computed tomography (CT) in these arterial beds and the risk of stroke, CI, and dementia.

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Approximately 3% of all diagnosed cases of ascites are of cardiac etiology. Although more commonly associated with heart failure, pulmonary arterial hypertension is a known but rare cause of cardiac ascites, which has not been associated with spontaneous bacterial peritonitis. We present a case of a 75-year-old male with known pulmonary arterial hypertension and new-onset ascites, the fluid analysis of which was consistent with both cardiac ascites and spontaneous bacterial peritonitis.

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Introduction: Enchondroma is a cartilaginous benign tumor of bone with the most common involvement of tubular bones of hands and feet. The triquetrum and pisiform are carpal bones and the enchondroma of the triquetrum and pisiform has not been reported in the literature to the best of our knowledge.

Case Report: A 26-year-old male presented with swelling over his right wrist with painful terminal motion.

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Introduction: The conect4children (c4c) project aims to facilitate efficient planning and delivery of paediatric clinical trials. One objective of c4c is data standardization and reuse. Interoperability and reusability of paediatric clinical trial data is challenging due to a lack of standardization.

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We present a first search for dark-trident scattering in a neutrino beam using a dataset corresponding to 7.2×10^{20} protons on target taken with the MicroBooNE detector at Fermilab. Proton interactions in the neutrino target at the main injector produce π^{0} and η mesons, which could decay into dark-matter (DM) particles mediated via a dark photon A^{'}.

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