Publications by authors named "Panchal R"

Loss of dopaminergic neurons in Parkinson's disease (PD) is preceded by loss of synaptic dopamine (DA) and accumulation of proteinaceous aggregates. Linking these deficits is critical to restoring DA signaling in PD. Using murine and human pluripotent stem cell (hPSC) models of PD coupled with human postmortem tissue, we show that accumulation of α-syn micro-aggregates impairs metabolic flux through the pentose phosphate pathway (PPP).

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Solar collector systems efficiently transform sunlight into energy that may be used to meet various needs. This research aimed to use the Taguchi method to determine the ideal operating parameters for a solar thermal collector with a rectangular spiral absorber. Controllable parameters including mass flow rate, solar radiation, and absorber design were manipulated during the energy recovery process, and features like PV temperature and outlet water temperature were used to assess the system's effectiveness.

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  • The study aimed to create a predictive tool to determine which patients with mild traumatic brain injury (mTBI) and subdural hematoma (SDH) may need neurosurgical intervention, as current methods are unreliable and lead to unnecessary treatments.
  • Conducted across six trauma centers, the research analyzed 1,333 patients admitted between 2016 and 2020, using variables like hematoma thickness and Glasgow Coma Scale scores to inform predictions.
  • Results showed a neurosurgical intervention rate of 8.8%, with key factors identified for predicting surgical need while maintaining a sensitivity of 100%.
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  • - The study examined the differences in causes of undiagnosed pleural effusions between outpatient and inpatient settings, involving 1,080 adult patients from four UK hospitals.
  • - Results showed that malignant effusions were more frequent in outpatients (48.3%) while infections were more common in inpatients (36.2%), indicating significant differences based on patient status.
  • - The findings suggest that diagnostic approaches should be tailored based on whether patients are admitted to the hospital or seen as outpatients.
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  • Study Objective
  • : The research evaluated the effectiveness of facemask sampling (FMS) to detect SARS-CoV-2 in vaccinated individuals during a mock PACES examination in Leicester, UK.
  • Methodology and Results
  • : Thirty-four participants wore modified facemasks capable of capturing exhaled virus and provided upper respiratory tract samples. Only one participant tested positive for SARS-CoV-2 via URTS, but not through FMS, indicating no transmission to others.
  • Participant Feedback
  • : Most participants found FMS acceptable, but 69% believed that a positive FMS result alone was not enough for a definitive diagnosis. The study suggests that FMS is a viable method for identifying infectious individuals
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Article Synopsis
  • The study aimed to identify risk factors for immediate neurosurgical intervention in patients with mild traumatic brain injuries and isolated subdural hematomas, using data from 6 trauma centers over a 5-year period.
  • Out of 1333 patients, 117 (8.8%) required surgery within 48 hours, with significant predictors being demographic factors like sex and mechanism of injury, as well as radiographic details like hemorrhage thickness and midline shift.
  • Ultimately, the combined analysis highlighted that advanced directives, Injury Severity Score, midline shift, and maximum hemorrhage thickness were crucial indicators for determining the need for surgical intervention shortly after hospital admission.
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Background: The accurate and safe positioning of cervical pedicle screws is crucial. While augmented reality (AR) use in spine surgery has previously demonstrated clinical utility in the thoracolumbar spine, its technical feasibility in the cervical spine remains less explored.

Purpose: The objective of this study was to assess the precision and safety of AR-assisted pedicle screw placement in the cervical spine.

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Individual marking techniques are critical for studying animals, especially in the wild. Current marking methods for bats (Order Chiroptera) have practical limitations and some can cause morbidity. We tested the p-Chip (p-Chip Corp.

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Missense variants can have a range of functional impacts depending on factors such as the specific amino acid substitution and location within the gene. To interpret their deleteriousness, studies have sought to identify regions within genes that are specifically intolerant of missense variation . Here, we leverage the patterns of rare missense variation in 125,748 individuals in the Genome Aggregation Database (gnomAD) against a null mutational model to identify transcripts that display regional differences in missense constraint.

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The instability of Nickel (Ni)-rich cathodes at high voltage is a critical bottleneck toward developing superior lithium-ion batteries. This instability is driven by cathode-electrolyte side reactions, causing rapid degradation, and compromising the overall cycle life. In this study, a protective coating using dispersed "magnetite (FeO.

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In this study, we reported one of the first cases where a rare robotic-assisted platform with neuronavigation technology and carbon-fiber-polyetheretherketone (CF/PEEK) screws is employed to surgically treat multilevel thoracic primary spinal epidural melanoma. A 67-year-old male presented with left upper thoracic pain. His magnetic resonance imaging (MRI) of the thoracic spine revealed a dumbbell-shaped left epidural mass at the T2-3 level.

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  • Pleural effusions (PEs) significantly affect patient health, but guidelines for non-malignant PEs (NMPEs) are lacking; this review focuses on cardiac-related PEs, such as those caused by congestive heart failure (CHF), pericarditis, and post-cardiac injury syndrome (PCIS).* -
  • The review highlights the challenges in accurately classifying PEs using Light's criteria and emphasizes the usefulness of the serum-pleural albumin gradient and elevated NT-proBNP levels for diagnosing CHF-related PEs.* -
  • It suggests that if medical treatments fail, therapeutic interventions like thoracentesis and indwelling pleural catheters may be required, while also
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Although smallpox has been eradicated, other orthopoxviruses continue to be a public health concern as exemplified by the ongoing Mpox (formerly monkeypox) global outbreak. While medical countermeasures (MCMs) previously approved by the Food and Drug Administration for the treatment of smallpox have been adopted for Mpox, previously described vulnerabilities coupled with the questionable benefit of at least one of the therapeutics during the 2022 Mpox outbreak reinforce the need for identifying and developing other MCMs against orthopoxviruses. Here, we screened a panel of Merck proprietary small molecules and identified a novel nucleoside inhibitor with potent broad-spectrum antiviral activity against multiple orthopoxviruses.

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Background: Insulin affordability is a huge concern for patients with diabetes in the United States. On March 30, 2020, Utah signed House Bill 207 into law, aimed at capping copayments for insulin at $30 for a 30-day supply. The bill was enacted on January 1, 2021.

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Background: Persistent human papillomavirus (HPV) infection is a known cause of a subset of head and neck cancers (HNCs). In the last two decades, the proportion of HNCs attributable to HPV infection has increased worldwide, notably the oropharyngeal cancers. However, the trend of HPV-related HNC burden is not clearly understood yet in China.

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Pseudoendocrine sarcoma (PES) is a recently described neoplasm typically arising in paravertebral soft tissues. Histologically, PES resembles well-differentiated neuroendocrine tumors but lacks expression of epithelial/neuroendocrine markers, and most show aberrant nuclear β-catenin positivity. We describe the clinicopathological and molecular features and DNA methylation profile of one PES.

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This case report outlines the diagnostic and treatment experience of a 50-year-old male diagnosed with moderately differentiated squamous cell carcinoma (SCC) in the right lower alveolus. It underscores the challenges of oral squamous cell carcinoma (OSCC) diagnosis and management, emphasizing the need for comprehensive multidisciplinary approaches. The patient's initial presentation with persistent mandibular pain highlighted the complexities of diagnosing oral and maxillofacial pathologies.

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Gibberellins represent an important group of potent phytohormones, growth-promoting, closely related diterpenoid acids biologically derived from tetracyclic diterpenoid hydrocarbon. Among these, gibberellic acid (GA) has received the greatest attention. GA is a highly valued plant growth regulator which has various applications in agriculture.

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Assessing the early use of video-assisted thoracoscopic surgery (VATS) or intrapleural enzyme therapy (IET) in pleural infection requires a phase III randomized controlled trial (RCT). To establish the feasibility of randomization in a surgery-versus-nonsurgery trial as well as the key outcome measures that are important to identify relevant patient-centered outcomes in a subsequent RCT. The MIST-3 (third Multicenter Intrapleural Sepsis Trial) was a prospective multicenter RCT involving eight U.

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Purpose: Pharmacological treatments for age-related macular degeneration (ArMD) include anti-vascular endothelial growth factor therapies. Bevacizumab is used off-label, as it has no indication for ArMD. This study aims to identify and describe literature on real-world evidence of bevacizumab (originator or biosimilars) use in ArMD.

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Nucleoside and nucleobase analogs capable of interfering with nucleic acid synthesis have played essential roles in fighting infectious diseases. However, many of these agents are associated with important and potentially lethal off-target intracellular effects that limit their use. Based on the previous discovery of base-modified 2'-deoxyuridines, which showed high anticancer activity while exhibiting lower toxicity toward rapidly dividing normal human cells compared to antimetabolite chemotherapeutics, we hypothesized that a similar modification of the N-hydroxycytidine (NHC) molecule would provide novel antiviral compounds with diminished side effects.

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Cyclodextrin glucanotransferase (CGTase) is an extracellular enzyme of the GH13 α-amylase family that catalyzes a unique intramolecular reaction known as cyclization to transform α-1, 4-glucans and similar starches into cyclodextrins. They also catalyze intermolecular transglycosylation reactions namely coupling, disproportionation, and some hydrolyzing effects on starch. The monomeric structures of the CGTase exhibit five domains (A, B, C, D, and E domains) with different molecular weights and amino acid sequences depending on the source.

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Background: Intercostal nerve block (ICNB) has long been used in thoracic surgery. Local anesthetic thoracoscopy (LAT) is performed under conscious sedation with local anesthesia at the port insertion site. This alone, however, does not anesthetize the parietal pleura from where biopsies are taken and patients can experience pain.

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Article Synopsis
  • The study analyzed C2 fractures (axis fractures) to understand when surgical intervention is necessary, focusing on the differences based on fracture type and patient factors.
  • Out of 38,080 patients, 13.9% underwent surgery, with varying rates based on fracture type: 17.5% for odontoid type II, 11.0% for type I/III, and 11.2% for non-odontoid fractures.
  • Key factors influencing the likelihood of surgery included younger age, treatment at a level I trauma center, and specific fracture characteristics, with different determinants identified for each fracture type.
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Cancer treatment is a significant driver of rising health care costs in the United States, where the annual cost of cancer care is estimated to reach $246 billion in 2030. As a result, cancer centers are considering moving away from fee-for-service models and transitioning to value-based care models, including value-based frameworks (VBFs), clinical care pathways (CCPs), and alternative payment models (APMs). To assess the barriers and motivations for using value-based care models from the perspectives of physicians and quality officers (QOs) at US cancer centers.

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