Publications by authors named "Mohan N"

Purpose: To validate the performance of the Notal OCT Analyzer (NOA) in processing self-administered OCT images from an OCT system designed for home use (home OCT [HOCT]) as part of a pivotal study aimed at achieving de novo United States Food and Drug Admininstration marketing authorization.

Design: A prospective quantitative cross-sectional artificial intelligence study.

Participants: The study enrolled adults aged ≥55 years diagnosed with neovascular age-related macular degeneration (nAMD) in ≥1 eligible eye with a best-corrected visual acuity of 20/320 or better.

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In the present work, we propose an experimental setup to investigate the effect of atmospheric turbulence on user-defined beams. The user-defined beams were formed by writing reconfigurable patterns on a spatial light modulator, allowing the impact of atmospheric turbulence to be investigated simultaneously and in real time. The programmable controllability provides several flexibilities to the system, such as the ability to create different beam types simultaneously, control the separation between different beams, compensate for aberrations, and easily switch between different beam types.

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  • Pediatric brain tumors in low- and middle-income countries, particularly Western Kenya, are less studied than other pediatric cancers, and effective care relies on collaboration among multiple medical departments.
  • The study found that, between 2015 and 2022, 79 children were diagnosed with brain tumors, primarily medulloblastoma, with a low 2-year event-free survival rate of 13% and a significant treatment abandonment rate of 46%.
  • Improvements in multidisciplinary care were noted from 2020 to 2022, influenced by factors such as resources, knowledge, and relationships among healthcare workers; addressing these barriers is essential for enhancing patient outcomes.
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As rates of obesity rise worldwide, incidence of metabolic dysfunction-associated steatotic liver disease (MASLD), formerly referred to as nonalcoholic fatty liver disease, is increasing, worsening the burden of healthcare systems. The council of the Federation of International Societies for Pediatric Gastroenterology, Hepatology, and Nutrition (FISPGHAN) identified the topic of MASLD epidemiology, treatment, and prevention as a global priority issue to be addressed by an expert team, with the goal to describe feasible and evidence-based actions that may contribute to reducing MASLD risk. The FISPGHAN member societies nominated experts in the field.

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Background: Investigate retinal fluid changes via a novel deep-learning algorithm in real-world patients receiving faricimab for the treatment of neovascular age-related macular degeneration (nAMD).

Methods: Multicenter, retrospective chart review and optical coherence tomography (OCT) image upload from participating sites was conducted on patients treated with faricimab for nAMD from February 2022 to January 2024. The Notal OCT Analyzer (NOA) algorithm provided intraretinal, subretinal and total retinal fluid for each scan.

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Context: Microbial keratitis is a potentially vision-threatening emergency that demands prompt diagnosis and treatment to ensure better vision recovery. Empirical use of broad-spectrum antimicrobial therapies is often the primary treatment modality, which is then tailored according to clinical response, cultured organisms, and their sensitivities. Since the spectrum of microbial agents associated with corneal ulcers is wide and varies from one geographical location to another, it is imperative that local microbial trends and susceptibility patterns are analyzed to enable better care in the management of these patients.

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  • Spastic Paraplegia 4 (SPG4) is a serious neurological disorder that causes increasing weakness and stiffness in the legs, affecting walking ability, and is linked to mutations in the SPAST gene which encodes the spastin protein.
  • The review examines the two main forms of spastin (M1 and M87), their genetic structure, and their uncertain roles in SPG4, highlighting the need for more research on how these isoforms contribute to the disease's progression.
  • The authors propose new theories on how M1- and M87-spastin interact, suggesting this could lead to new treatment approaches for SPG4 and emphasizing the importance of understanding the specific functions of each spastin
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The growing threat of antimicrobial resistance has made the quest for antibiotic alternatives or synergists one of the most pressing priorities of the 21st century. The emergence of multidrug-resistance in most of the common wound pathogens has amplified the risk of antibiotic-resistant wound infections. Bacteriophages, with their self-replicating ability and targeted specificity, can act as suitable antibiotic alternatives.

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Aim: This study aimed to assess the validity and reliability of AI chatbots, including Bing, ChatGPT 3.5, Google Gemini, and Claude AI, in addressing frequently asked questions (FAQs) related to dental trauma.

Methodology: A set of 30 FAQs was initially formulated by collecting responses from four AI chatbots.

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  • The study investigates how cancer cells, particularly pancreatic ductal adenocarcinoma (PDAC), regulate oncogenic protein levels to survive, focusing on the Myc oncogene.
  • Using CRISPRi screens, four RNA binding proteins (RBPs) were identified as key activators of selective translation, with RBM42 being the most critical and linked to poor patient survival.
  • RBM42 was found to be a ribosome-associated protein that binds to the 5' untranslated region (5'UTR) of specific oncogenic transcripts, promoting their translation and supporting cancer growth, offering potential for new therapeutic strategies.
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  • * This study investigates if audiovisual feedback devices can improve CPR performance among laypersons, focusing on non-medical caregivers who often respond first to emergencies before professionals arrive.
  • * Conducted over a two-year period at a medical college in Kochi, the study involved 146 participants, using questionnaires and considering various statistical analyses to assess the impact of audiovisual aids on CPR quality.
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  • Secondary angle closure glaucoma (SACG) differs from primary angle closure glaucoma, often presenting acutely and involving various ocular and systemic associations, which can complicate diagnosis and treatment.
  • *Prompt diagnosis is crucial, and the video outlines different imaging techniques like optical coherence tomography and ultrasound biomicroscopy to identify the causes of SACG effectively.
  • *The video highlights the various mechanisms behind SACG, including those with and without pupillary block, and offers insights on their treatment options.*
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  • * The study shows that Yki functions similarly to a tumor suppressor by negatively regulating the PI3K/Akt/TOR signaling pathway in squamous epithelia, limiting cell proliferation and preventing tumorigenesis.
  • * Downregulation of Yki in the adult male accessory gland leads to increased cancer risk (SCC) and associated cachexia due to changes in signaling, demonstrating Yki's crucial role in maintaining cell growth balance in certain tissues.
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  • Dysglycemia is a common issue in severe sepsis and can indicate poor patient outcomes, but there’s limited research specifically on non-diabetic patients experiencing this condition during sepsis episodes.
  • This study, conducted at a medical college hospital in Kochi from January to December 2023, aimed to examine the prevalence of dysglycemia among 100 non-diabetic sepsis patients and analyze its links to factors like age, gender, APACHE II scores, and the length of hospital stay.
  • Findings revealed that 49% of included patients had dysglycemia (16% had hypoglycemia and 33% had hyperglycemia), with a statistically significant increase in incidence as age increased (p=0.002).
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Congenital nasal pyriform aperture stenosis is a newly defined clinical entity that causes nasal airway obstruction in neonates due to the narrowing of the pyriform aperture, which is the narrowest and most anterior portion of the nasal airway. As newborns are obligate nasal breathers except when crying, a child with bilateral nasal pyriform aperture obstruction presents as an acute airway emergency, resulting in apnea and cyanosis. This entity should be kept in the differential diagnosis of any neonate or infant presenting with signs and symptoms of upper airway obstruction.

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Timely diagnosis and management of pediatric acute liver failure (PALF) is of paramount importance to improve survival. The Indian Society of Pediatric Gastroenterology, Hepatology, and Nutrition invited national and international experts to identify and review important management and research questions. These covered the definition, age appropriate stepwise workup for the etiology, non-invasive diagnosis and management of cerebral edema, prognostic scores, criteria for listing for liver transplantation (LT) and bridging therapies in PALF.

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High-income countries like Aotearoa New Zealand are grappling with inequitable access to healthcare services. Out-of-pocket payments can lead to the reduced use of appropriate healthcare services, poorer health outcomes, and catastrophic health expenses. To advance our knowledge, this systematic review asks, "What interventions aim to reduce cost barriers for health users when accessing primary healthcare in high-income countries?" The search strategy comprised three bibliographic databases (Dimensions, Embase, and Medline Web of Science).

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This case demonstrated the rare "shark fin" ECG pattern, an ST-segment elevation typically seen in acute myocardial infarction. We reported a case of takotsubo cardiomyopathy secondary to influenza A infection with multiple organ failure, showing the shark fin sign and resulting in in-patient mortality and various complication.

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Bromodomain Adjacent to Zinc Finger Domain 1A (BAZ1A) is a critical regulator of chromatin remodeling. We sought to clarify the roles of BAZ1A in the etiology of colorectal cancer, including the mechanisms of its alternatively spliced variants. Public databases were examined and revealed high BAZ1A expression in the majority of colorectal cancer patients, which was corroborated in a panel of human colon cancer cell lines.

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Background: Over the past decade, cancer immunotherapies have revolutionized the treatment of melanoma; however, responses vary across patient populations. Recently, baseline tumor size has been identified as an independent prognostic factor for overall survival in patients with melanoma receiving immune checkpoint inhibitors. MG1 is a novel oncolytic agent with broad tumor tropism that has recently entered early-phase clinical trials.

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Introduction: Cirrhosis-associated immune dysfunction (CAID) is a chronic vasodilatory state with hyperdynamic circulation and alterations in thermoregulation that may make patients more susceptible to and mask underlying infection. This study aims to determine whether SIRS criteria are an accurate tool for predicting bloodstream infection (BSI) in cirrhosis.

Methods: In our retrospective chart review, study population included patients with cirrhosis that were 18 years or older.

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Aim: To ascertain the reasons for and impacts of closed books in general practices in Aotearoa New Zealand and report recommendations for mitigation.

Method: A mixed-methods approach was used. A first round of interviews with experts in the primary care sector was conducted, followed by a survey across general practices and, finally, a second round of interviews.

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Pig posture is closely linked with livestock health and welfare. There has been significant interest among researchers in using deep learning techniques for pig posture detection. However, this task is challenging due to variations in image angles and times, as well as the presence of multiple pigs in a single image.

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