Publications by authors named "Modi M"

Metastatic melanoma with unusual histopathology can be diagnostically challenging. One exceptionally rare cutaneous manifestation of metastases is blue-nevus-like metastatic melanoma (BNLMM). A 74-year-old male presented with a blue-gray lesion on his left helix in the same anatomical region of a previously resected lentigo maligna.

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Background And Purpose: Synthetic MRI utilizes the quantitative relaxometry parameters to generate multiple contrast images through a single acquisition. We tried to explore the utility of synthetic MRI derived relaxometry parameters in evaluation of ring enhancing lesions of brain.

Materials And Methods: This was a prospective study.

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  • Cortical differences in thickness, folding, and complexity may indicate changes in synaptic pruning and myelination, particularly in individuals with opioid use disorder (OUD).
  • A study compared 69 males with OUD to 25 non-drug-using controls, finding greater sulcal depth and lower gyrification index in specific brain areas associated with OUD.
  • Early initiation and longer duration of opioid use correlated with significant changes in cortical thickness, suggesting these factors may contribute to structural brain abnormalities.
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Unlabelled: (syn. ) is responsible for the blast disease in rice resulting in a greater extent of yield loss. However, some of the cultivars of rice have the ability to survive this devastating infection due to the presence of (resistance) genes.

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NCC is responsible for around 30% of active epilepsy in endemic countries such as India. Knowing socioeconomic factors associated with NCC can help in decreasing the incidence of this disease. We intend to study socioeconomic risk factors in NCC patients and how these factors are different from patients without NCC.

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  • The study investigated how socioeconomic status (SES) affects the choice of thrombolytic agent and patient outcomes in acute ischemic stroke (AIS) treatment, comparing alteplase and tenecteplase.
  • Data was collected from 78 AIS patients at a tertiary care center in India, revealing that higher SES patients predominantly chose alteplase, while lower SES patients favored tenecteplase.
  • Despite the differences in drug preference based on SES, no significant disparities in clinical outcomes (measured by NIHSS and mRS scores) were found among the different SES groups.
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  • Pathological cough is a common issue in primary care, affecting 5-10% of patients in India, yet general practitioners often lack effective tools for proper cough screening and categorization.
  • An expert panel created recommendations for GPs to enhance cough management, focusing on simplifying the assessment process and improving treatment protocols.
  • Implementing these recommendations can help practitioners categorize cough accurately, leading to better treatment choices, reduced misuse of medications, and improved patient outcomes.
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Installing coordinately unsaturated Fe-N-C structural units on polymer-composite-derived N-doped carbon offers highly active Fe-N sites for the electrochemical oxygen evolution reaction (OER) and reactive oxygen species (ROS) generation in tumor cells. An NHCl-driven high-temperature etching method was employed for the formation of FeSA950NC with coordinately unsaturated single Fe-atoms in an Fe-N(sp)-C structural unit together with N vacancies () and sp defects. The carbonization of Fe-phen@ZIF-8 at 800 °C for 30 min under argon, followed by grinding Fe-ZIF-8@RF-urea with NHCl at 950 °C for 2 hours, resulted in sp carbon defects and sites with coordination unsaturation in Fe-N due to NHCl decomposition to NH and HCl, which produced substantial internal stress for etching the carbon matrix.

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This paper explores the use of ultrasound therapy in dentistry, focusing on its working principle, various applications, advantages, limitations, precautions, contraindications, and future directions. Ultrasound therapy presents a promising non-invasive treatment modality with a wide range of applications within the field of dentistry.

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  • Tuberculous meningitis is a serious disease that can cause death or long-term problems for about half of the people it affects.
  • Current treatment methods are based on how we treat lung tuberculosis, but they don't work as well for the brain.
  • Researchers are calling for new global trials with better drugs to improve treatment and help patients with this dangerous infection.
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Objective: Researchers have long been captivated by the complex molecular interactions between vitamin D and the thyroid gland. Hypothyroidism affects 2% to 4% of women of reproductive age and can impact fertility through anovulatory cycles, luteal phase defects, hyperprolactinemia, and sex hormone imbalances. This study investigated the relationship between thyroid disease and the severity of vitamin D deficiency across different age groups.

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Unlabelled: Tuberculosis (TB) is an important cause of morbidity and mortality globally. About 3-4% of hospitalized TB patients require admission to the intensive care unit (ICU); the mortality in these patients is around 50-60%. There is limited literature on the evaluation and management of patients with TB who required ICU admission.

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  • * A study involving 104 patients assessed how the immune response affects the effectiveness of AHD therapy by measuring cytokine levels in blood samples before and after treatment.
  • * Results showed that responders to treatment had lower IL-10 and IL-6 levels after AHD, while non-responders had higher levels, suggesting that these cytokines may play a role in the treatment's success.
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Considering a huge burden of chronic respiratory diseases (CRDs) in India, there is a need for locally relevant Pulmonary rehabilitation (PR) services. This cross-sectional survey was aimed to explore the interest, needs and challenges among various stakeholders for PR in Pune city, India. At the outpatient respiratory medicine department of a multi-speciality hospital in Pune, India, 403 eligible people with CRDs were invited to participate in the survey, of which 370 (92%) responded and agreed to participate.

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  • The study investigates how nerve fiber involvement in leprosy can be measured before symptoms appear, using PGP 9.5 as a marker.
  • The research involved taking skin biopsies from leprosy patients with nerve function impairment to assess changes in nerve fiber density before and after treatment.
  • Results showed an increase in PGP 9.5 staining in skin layers after treatment, suggesting it could be an effective marker for monitoring treatment response in leprosy patients.
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  • Pure neuritic leprosy (PNL) is often underdiagnosed due to the lack of effective diagnostic methods, prompting a study to evaluate the use of multiplex polymerase chain reaction (MPCR) on less invasive samples like skin biopsies and nasal swabs.
  • In a sample of 30 untreated patients with suspected PNL, MPCR detected Mycobacterium leprae DNA in 60% of skin samples and 53% of nasal swabs, compared to lower rates using traditional RLEP-PCR.
  • The study found that MPCR is a more reliable and less invasive option for diagnosing M. leprae in PNL cases and could improve detection rates in clinically suspected patients.
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Objective: To determine the normative values of cerebral blood flow (CBF) velocities in very low birth weight (VLBW) neonates during the first 28 days of life.

Method: In this prospective observational study, doppler assessment of CBF velocities was performed from the anterior cerebral artery (ACA), middle cerebral artery (MCA) and basilar artery (BA) at 2-8 hours, 24 hours, day 3, 7, 14 and 28 of life. Neonates with gross congenital malformations, those requiring extensive resuscitation at birth, mechanical ventilation with mean airway pressure >12 mbar, requiring inotropes, or those who developed intraventricular hemorrhage (grade II or more) were excluded.

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Introduction: Pneumococcal diseases pose a significant public health concern in India, with substantial morbidity and mortality, with the elderly and those with coexisting medical conditions being most at risk. Pneumococcus was also seen to be one of the main reasons for co-infection, pneumonia and complications in COVID. Current guidelines recommend vaccination for specific adult populations, but there is a lack of uniformity and guidance on risk stratification, prioritisation and optimal timing.

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Various inotropes and inodilators have been utilized to treat low cardiac output syndrome after the arterial switch operation. The use of levosimendan, a calcium sensitizer has been limited in this setting. This study compares the effects of levosimendan with milrinone in managing low cardiac output after the arterial switch operation.

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  • Taenia solium is a tapeworm that mainly affects people in Latin America, South and Southeast Asia, and Sub-Saharan Africa, causing a disease called neurocysticercosis (NCC) that can lead to epilepsy and neurological issues.
  • The study involved 141 patients diagnosed with NCC and 98 control subjects, examining plasma and urine samples to improve diagnostics, particularly in low-income regions where imaging resources are limited.
  • Results showed a significant presence of the T. solium gene in patients (74.4% in plasma and 67.3% in urine), highlighting the effectiveness of new methods like RT-LAMP for detecting NCC and suggesting these methods are more cost-effective and simpler for widespread use.
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Objectives: In developing nations such as India, a disparity exists between the available resources for stroke rehabilitation and the substantial burden of stroke cases. Consequently, the provision of cost-effective and multidisciplinary post-stroke rehabilitation care to stroke survivors becomes of paramount importance. The utilization of mobile applications (apps) for stroke care has been on the rise, offering a personalized and pragmatic solution with the potential for wider reach in settings constrained by limited resources.

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Background: Spirofy™ is India's first portable, pneumotach flow-sensor-based digital spirometer developed to diagnose asthma and chronic obstructive pulmonary disease (COPD). In this study, we compared the performance of the Spirofy™ device with that of the Vitalograph Alpha Touch™ spirometer in measuring the lung capacities of healthy individuals, asthmatics, and COPD patients. We also assessed the inter-device variability between two Spirofy™ devices.

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