Publications by authors named "Mehra P"

Understanding the balance between robustness and evolvability is crucial in evolutionary dynamics. This study aims to determine how varying mutation rates and valley depths affect this interplay during adaptation. Using a two-peak fitness landscape model requiring populations to cross a fitness valley to reach a higher peak, we investigate how mutation rates and valley depths influence both evolvability-the capacity to generate beneficial mutations-and mutational robustness, which stabilizes populations at the highest peak.

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Traditional surgical techniques for segmental maxillary surgery include a combination of interdental osteotomies with paramidline bony cuts while keeping the palatal soft tissue intact. Besides surgical complexity, segmental maxillary procedures have been associated with higher incidence of relapse and complications. We present our experience with specific hard- and soft-tissue modifications (midline bony osteotomy and reflection of palatal soft tissue with carefully designed incisions) which will allow surgeons to perform larger expansions with a low incidence of complications and decreased relapse.

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Antimicrobial peptides (AMPs) represent a unique group of naturally occurring molecules having diverse biological activities, including potent antimicrobial properties. Among them, LL-37 has emerged as a significant player, demonstrating its multifaceted roles during bacterial, fungal, and viral infections, as well as exhibiting intriguing implications in cancer. This review delves into the versatile functions of LL-37, elucidating its mechanisms of action against microbial pathogens and its potential to modulate immune responses.

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Medical device separation or breakage is not an uncommon incident in routine maxillofacial surgery. The maxillofacial surgical procedures utilize various devices like piezosurgery tips, tungsten carbide burs, chisels and elevators. Instrument breakage or separation may be attributed to substandard grade, overused blunt instruments, repeated autoclaving, improper force application and overheating of instruments.

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This case report details the successful application of nasoalveolar molding (NAM) in a 4-day-old neonate with a complete unilateral cleft lip and palate, showcasing a comprehensive treatment approach involving presurgical NAM and subsequent surgical repair. The NAM technique, pioneered by Barry H. Grayson, utilizes a specialized appliance to shape the alveolar ridge and nasal cartilage concurrently.

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Insecticides are widely used to control pests and improve agricultural yield. The use of indiscriminate amounts and persistent pesticides has not only resulted in insect pest resistance challenges but has also harmed non-target organisms and contaminated the environment. We assessed the cost-effectiveness of Spodoptera litura (Fabricius) resistance to chlorantraniliprole (CTPR) as part of insect resistance control programs.

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Objectives: The study aimed to establish a normative reference value for the agility T-test and Illinois test in football players, on the basis of sex and playing position.

Design: Cross-sectional study.

Setting: Himachal Pradesh Football Association and Maharishi Markandeshwar Medical College and Hospital-Himachal Pradesh.

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Background: The lymphocyte to monocyte ratio (LMR) is considered a marker of systemic inflammation in cardiovascular disease and acts as predictor of mortality in coronary artery disease.

Aim: To investigate the predictive role of LMR in diabetic coronary artery disease patients.

Methods: This cross-sectional study was conducted at tertiary care super-specialty hospital at New Delhi, India.

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A nonenzymatic redox-responsive sensor was put forward for the detection of methylparathion (MP) by designing globular nanostructures of molecularly imprinted polymers on graphene oxide (GO@MIPs) via surface-initiated reversible addition-fragmentation chain transfer polymerization (SI-RAFT). Fourier transform infrared (FTIR) spectroscopy, field emission scanning electron microscopy (FESEM), and small-angle X-ray scattering (SAXS) studies have confirmed the successful formation of receptor layers of MIPs on RAFT agent-functionalized GO sheets. The electrochemical signal with an amplified current response was attained because of the enhanced diffusion rate of ions at the interface provided by widening the pore size of the MIP film.

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Intraosseous meningiomas are a rare subtype of meningiomas representing approximately 2% of all cases. They can confound a diagnosis of other bone lesions including metastatic tumors. We present a case of a patient with prostate cancer who on staging workup was suspected to have a skull metastasis.

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Article Synopsis
  • Oral hyaline ring granuloma is a rare lesion in the jaw, marked by eosinophilic rings and multinucleated giant cells.
  • This condition can occur centrally or peripherally, often due to foreign particles in the mouth.
  • The paper discusses a unique case related to an impacted premolar tooth and details its surgical treatment for the first time.
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  • Late-onset Pompe Disease (LOPD) is a rare genetic disorder caused by a deficiency in an enzyme, leading to muscle damage and glycogen accumulation in cells.
  • This study used advanced techniques like single nuclei RNA sequencing to explore gene expression changes in muscle biopsies from LOPD patients compared to healthy controls, revealing significant metabolic shifts and inflammatory responses in affected fibers.
  • Findings suggest potential benefits of enzyme replacement therapy in restoring metabolic function, especially in healthy muscle fibers, emphasizing the importance of using modern methods to understand muscle disease at a cellular level.
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Background Achilles tendinopathy is a common overuse tendon injury, affecting athletes in running and similar sports. Repetitive overload of the Achilles tendon is the primary cause of inflammation, collagen degeneration, and tendon thickening. This study aims to investigate the efficacy of combining low-level laser therapy (LLLT) with eccentric exercises in treating midportion Achilles tendinopathy.

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Purpose: We present long-term outcomes from a phase 3 randomized controlled trial that compared helical tomotherapy with 3-dimensional conformal radiation therapy (3D-CRT) in the treatment of high-risk prostate cancer.

Methods And Materials: Newly diagnosed patients with high-risk prostate cancer were randomly allocated to receive radical radiation therapy (RT) using 3D-CRT or helical tomotherapy. In both arms, patients received an initial dose of 46 Gy in 23 fractions to the prostate and pelvic lymph nodes, followed by an additional boost to the prostate of 32 Gy in 16 fractions.

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Article Synopsis
  • - The gut microbiome, a diverse group of microorganisms, is essential for many bodily functions, but research is hampered by a lack of standardized sampling and preservation methods, leading to inconsistent results.
  • - The complexity of diseases such as colorectal and breast cancer highlights the need for a deeper understanding of their causes, which is complicated by varied protocols for stool sample collection.
  • - Stool preservation is crucial for advancing research methods (like metagenomics) and treatments (such as fecal microbiota transplantation), and this review emphasizes the potential of omics studies to identify new biomarkers for faster, noninvasive disease diagnosis.
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The Mediator complex is essential for eukaryotic transcription, yet its role and the function of its individual subunits in plants, especially in rice, remain poorly understood. Here, we investigate the function of OsMED14_2, a subunit of the Mediator tail module, in rice development. Overexpression and knockout of OsMED14_2 resulted in notable changes in panicle morphology and grain size.

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Feeding a neonate baby with a complete cleft lip and palate is a problematic pursuit because of the communication between the oral and the nasal cavity and associated problems. This present case is of a 6-day-old underweight neonate with feeding difficulties due to the cleft palate. In this case report, simple, uncomplicated steps for the fabrication of a feeding obturator are explained to aid in the proper nourishment of neonates for definite corrective procedures in the future with overall growth.

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The buccal fat pad (BFP) is a specialized encapsulated adipose tissue, located intimately between the buccinator muscle and oral mucous membrane. A small perforation of buccinator muscle can lead to herniation of BFP into the oral cavity, which can be readily mistaken with a pathological entity. In general, the size of herniated BFP is larger than the perforation.

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Objective: Purpose: To evaluate the efficacy of water flossing to traditional flossing in lowering the bleeding on probing (BOP) index around dental implants.

Methods And Materials: This single-center, examiner-masked research enrolled patients with implants and randomly allocated them to one of two groups. The research analyzed the effectiveness of manual toothbrushes when used with either string floss or a water flosser.

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Article Synopsis
  • The study aimed to evaluate the knowledge, attitudes, and practices of oral health practitioners regarding adverse drug reactions (ADRs) using an electronic survey.
  • The survey received responses from 570 participants, revealing that a significant percentage encountered ADRs but only a small fraction reported them, largely due to a lack of information and fear of legal issues.
  • The conclusion highlights the need for better education and orientation programs on ADR reporting to enhance patient safety and care among oral health practitioners.
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This article aims to review the literature about the history of fluoride, its toxicity, prevalence, prevention, diagnosis, and management in oral healthcare practice. Fluoride is the cornerstone of oral health, playing a pivotal role in oral health. Fluoride can be administered topically or systemically.

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Introduction: Chlorhexidine gluconate (CHX) has been still regarded as the most efficient mouthwash. Due to its recognized negative effects, it can only be used for a short duration. Octenidine dihydrochloride (OCT), an antiseptic substance found by Sterling Winthrop in the 1980s, has proven helpful in preventing the co-aggregation of dental plaque microbial invaders without disrupting the typical, healthy oral flora.

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Background: Periodontal disease, characterized by inflammation and infection of the supporting structures of teeth, poses a significant oral health challenge. Traditional periodontal surgery and non-surgical therapy, such as scaling and root planing, are established treatment approaches for addressing periodontal disease.

Materials And Methods: The study enrolled 120 adult patients diagnosed with moderate to severe periodontal disease.

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This study investigates whether reducing epistasis and pleiotropy enhances mutational robustness in evolutionary adaptation, utilizing an indirect encoded model within the "survival of the flattest" (SoF) fitness landscape. By simulating genetic variations and their phenotypic consequences, we explore organisms' adaptive mechanisms to maintain positions on higher, narrower evolutionary peaks amidst environmental and genetic pressures. Our results reveal that organisms can indeed sustain their advantageous positions by minimizing the complexity of genetic interactions-specifically, by reducing the levels of epistasis and pleiotropy.

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