Comparison of Intraoperative Propofol-Dexmedetomidine and Ketofol-Dexmedetomidine Infusions on Recovery from Anesthesia in Patients Undergoing Endoscopic Trans-Sphenoidal Pituitary Surgeries: A Randomised Controlled Trial.

Background: A rapid and smooth emergence is essential in patients undergoing trans-sphenoidal pituitary surgeries. Ketofol has been used as an anesthetic agent with good recovery characteristics. We conducted this study to compare the recovery profile of the patients receiving propofol-dexmedetomidine or ketofol-dexmedetomidine infusions for trans-sphenoidal excision of pituitary tumours.

Mid-term Outcomes of Patella Resurfacing During Total Knee Arthroplasty (TKA): Clinical, Functional, and Radiographic Insights.

Aim The primary objective of the study was to evaluate the mid-term implant survivability, rate of revisions, and clinical and functional outcomes following patella resurfacing during total knee arthroplasty (TKA) utilizing posterior stabilized (PS) total knee system (TKS). Methods A prospective, single-arm, multi-center, post-marketing surveillance encompassed patients with end-stage primary knee osteoarthritis (OA) or inflammatory arthritis. The time points of the study included baseline, six weeks, six months, one year, and three years post-operatively.

Antimicrobial Susceptibility Trends in Causing Pediatric Urinary Tract Infections in the United States.

Urinary tract infections (UTIs) are among the most common pediatric infections. This study evaluated the antimicrobial susceptibility patterns of 3511 uropathogenic (UPEC) isolated from pediatric patients in the United States from 2014 to 2023. The database from the SENTRY antimicrobial surveillance program from 89 medical centers was utilized as a data source.

Elucidating governing factors of PFAS removal by polyamide membranes using machine learning and molecular simulations.

Per- and polyfluoroalkyl substances (PFASs) have recently garnered considerable concerns regarding their impacts on human and ecological health. Despite the important roles of polyamide membranes in remediating PFASs-contaminated water, the governing factors influencing PFAS transport across these membranes remain elusive. In this study, we investigate PFAS rejection by polyamide membranes using two machine learning (ML) models, namely XGBoost and multimodal transformer models.

Harnessing Raman spectroscopy and multimodal imaging of cartilage for osteoarthritis diagnosis.

Osteoarthritis (OA) is a complex disease of cartilage characterised by joint pain, functional limitation, and reduced quality of life with affected joint movement leading to pain and limited mobility. Current methods to diagnose OA are predominantly limited to X-ray, MRI and invasive joint fluid analysis, all of which lack chemical or molecular specificity and are limited to detection of the disease at later stages. A rapid minimally invasive and non-destructive approach to disease diagnosis is a critical unmet need.

C-H Functionalization of Imidazo[1,5-]pyridines: A Metal-Free Approach for Methylene Insertion to Access C(sp)-C(sp)-H-C(sp) Bond Formation.

Formaldehyde has been used as a solvent and a source of carbon to insert a methylene group for bridging two imidazo[1,5-]pyridine molecules without using any metal catalysis. This strategy has been extended on other alkyl-, aryl-, and heteroaryl aldehydes as well. This C(sp)-C(sp)-H-C(sp) bond forming reaction proceeds via C(sp)H functionalization of imidazo[1,5-]pyridine and was applied on a wide range of substrates offering moderate to good yields of methylene-bridged/inserted bis-imidazo[1,5-]pyridines.

Recent advances in carbon-based materials derived from diverse green biowaste for sensing applications: a comprehensive overview from the perspective of synthesis method and application.

The rapid increase in global waste, driven by population growth, has raised significant environmental concerns. Among different types of wastes, green biowastes (BWs) containing organic matter have attracted considerable attention. The conversion of BW, particularly from herbaceous and animal sources, to carbon-based materials (CBMs) introduces a suitable platform for waste management and resource recovery.

Awareness and monitoring of infection control practices among healthcare workers in three primary health centers in India.

Objective: This study aimed to assess the awareness of and adherence to infection control practices among healthcare workers (HCWs) in three primary healthcare centers (PHCs) near Aurangabad City, Maharashtra, India.

Method: A prospective observational study over six months involved 64 HCWs from three PHCs (A, B, and C). Questionnaires and observation checklists based on guidelines from the WHO and the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) were used to evaluate infection control practices across nine modules.

The Association of Lipid Abnormalities with Complications in Severe Scrub Typhus.

Aim: To study abnormalities of lipids in patients suffering from severe scrub typhus and their relationship with complications.

Methods: This cohort study was conducted in patients of severe scrub typhus [immunoglobulin (IgM) positive by enzyme-linked immunosorbent assay (ELISA)] admitted to our institute from 1 August 2020 through 31 July 2021. The lipid profile was estimated initially at the time of hospitalization.

Infrapatellar Fat Pad Calcification: A Case Series and a Narrative Review.

Introduction: Infrapatellar fat pad (IFP) calcification is a rarely reported entity in the literature. Only a few cases have been reported so far and that too as case reports. The authors in the present study present two cases of IFP calcification.

Innovations in cancer immunotherapy: A comprehensive overview of recent breakthroughs and future directions.

A major advance in cancer treatment has been the development and refinement of cancer immunotherapy. The discovery of immunotherapies for a wide range of cancers has revolutionized cancer treatment paradigms. Despite relapse or refractory disease, immunotherapy approaches can prolong the life expectancy of metastatic cancer patients.

Evaluative comparison of machine learning algorithms for stutter detection and classification.

Stuttering is a neuro-developmental speech disorder that interrupts the flow of speech due to involuntary pauses and sound repetitions. It has profound psychological impacts that affect social interactions and professional advancements. Automatically detecting stuttering events in speech recordings could assist speech therapists or speech pathologists track the fluency of people who stutter (PWS).

Dynamic coronary roadmap in percutaneous coronary intervention: a systematic review and meta-analysis.

Background: Contrast-induced acute kidney injury (CI-AKI) is one of the complications of percutaneous coronary intervention (PCI) with high financial burden and poor outcomes. Dynamic coronary roadmap (DCR) is one of the augmentation tools that can provide a dynamic clear coronary mapping with the potential to reduce contrast use and CI-AKI incidence. Herein, we aim to systematically investigate the studies that have assessed the effect of DCR on PCI outcomes.

Omics analysis reveals galectin-3 to be a potential key regulator of allergic inflammation in hereditary angioedema.

Background: Hereditary angioedema (HAE) is a rare inherited disorder that predisposes an individual to develop vasogenic edema. Bradykinin release, which increases vascular permeability, results in angioedema. C1 esterase inhibitor (C1-INH) is a major regulator of critical enzymes involved in bradykinin generation and mutations in genes that encode the C1 inhibitor of complement factor 1, which prevent its synthesis (type I HAE), form a dysfunctional protein (type II HAE), or have normal functioning C1-INH (type III HAE, aka HAE-III).