Publications by authors named "Patel I"

Background: Craniosynostosis, a condition involving the premature fusion of cranial sutures, can impair brain development and potentially lead to developmental delays. This study compares open cranial vault remodeling versus endoscopic strip craniectomy treatment for isolated sagittal craniosynostosis, primarily focusing on development outcomes.

Methods: A retrospective cohort study was conducted at a tertiary pediatric surgery center, involving all 45 patients treated surgically for isolated sagittal craniosynostosis from 2013 to 2024.

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Background: The optimal treatment for ischemic mitral regurgitation (IMR) in patients of non-ST elevation myocardial infarction (NSTEMI) is a debated topic.

Objective: To evaluate the long term outcome on patients with NSTEMI and IMR, particularly emphasizing the comparison of treatments in those with moderate to severe MR.

Methods: We enrolled patients with NSTEMI and classified non/trivial to mild regurgitation as insignificant IMR and moderate to severe regurgitation as significant IMR.

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Gemtuzumab ozogamicin (GO) is a CD33-targeting antibody-drug conjugate approved for the treatment of CD33-positive de novo and relapsed and refractory acute myeloid leukemia (AML). Subset analyses have demonstrated improved clinical outcomes in patients with favorable-risk disease. It is unclear whether the addition of GO to cytarabine and anthracycline chemotherapy (7+3) improves clinical outcomes compared with other conventional regimens for AML.

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  • - The study aimed to explore how a polygenic risk score (PRS) for QT prolongation (QTc-PRS) is linked to QTc intervals and sudden cardiac death (SCD) in people with and without sleep-disordered breathing (SDB) using data from the UK Biobank.
  • - Results showed that a higher QTc-PRS was connected to longer QTc intervals, with SDB significantly affecting the relationship between QTc-PRS and SCD risk; those with SDB had a much higher risk of SCD.
  • - In particular, Black participants with SDB were found to have a notably high risk of sudden cardiac death, highlighting the importance of SDB as a modifier for genetic risk factors.
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Informed consent is a crucial requirement of a patient's surgical care but can be a burdensome task. Artificial intelligence (AI) and machine learning language models may provide an alternative approach to writing detailed, readable consent forms in an efficient manner. No studies have assessed the accuracy and completeness of AI-generated consents for aesthetic plastic surgeries.

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Objectives: This study aimed to examine the relationship between measures of kidney function and impaired lung function in individuals with diabetes and to assess all-cause mortality risk associated with having chronic kidney disease (CKD) and or impaired lung function.

Design: Cross-sectional and retrospective cohort study.

Setting: The National Health and Nutrition Examination Survey 2007-2012.

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Background: Total joint arthroplasty (TJA) is an effective treatment for end-stage osteoarthritis, but postoperative pain has been poorly managed. The purpose of this study was to (1) assess how much narcotic medication was prescribed after TJA; (2) assess if patients were satisfied with their pain management; (3) compare these same data between total hip arthroplasty (THA)/total knee arthroplasty (TKA); (4) compare these same data between preoperative opioid users/opioid-naïve patients.

Methods: An IRB-approved prospective study was conducted at a US academic joint replacement practice.

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There is a strong evidence base for the best care in chronic obstructive pulmonary disease (COPD) as outlined by the National Institute for Health and Care Excellence in its five fundamentals of COPD care: offer treatment and support to stop smoking; offer pneumococcal and influenza vaccinations; offer pulmonary rehabilitation if indicated; codevelop a personalised self-management plan; and optimise treatment for comorbidities. However, only a minority of those living with COPD receive or engage with all five interventions, with clear implications for outcomes. Further, barriers which prevent people who live with COPD accessing necessary care are unequally experienced.

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Introduction: Integrated plastic surgery is consistently one of the most competitive residency specialties to successfully match. Students, advisors, and mentors are constantly looking for strategies to increase the odds of successfully matching. Away rotations (AR) give students and residency programs a chance to experience each other and get a gage of program fit and gives the student ability to show interest in a geographic region.

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Mutations in the human granulin (GRN) gene are associated with multiple diseases, including dementia disorders such as frontotemporal dementia (FTD) and limbic-predominant age-related TDP-43 encephalopathy (LATE). We studied a Grn knockout (Grn-KO) mouse model in order to evaluate a potential therapeutic strategy for these diseases using nicorandil, a commercially available agonist for the ABCC9/Abcc9-encoded regulatory subunit of the "KATP" channel that is well-tolerated in humans. Aged (13 months) Grn-KO and wild-type (WT) mice were treated as controls or with nicorandil (15 mg/kg/day) in drinking water for 7 months, then tested for neurobehavioral performance, neuropathology, and gene expression.

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  • Lumbar degenerative spondylolisthesis (LDS) is a condition involving spinal instability due to intervertebral disc degeneration and facet joint changes, leading to pain and potential surgery, but its causes are not well understood.
  • This study examined the relationship between gut microbiome dysbiosis (an imbalance of gut bacteria) and spine health in symptomatic patients with and without LDS by analyzing fecal samples.
  • Findings indicated that patients with LDS showed more severe disc degeneration, distinct gut microbiome structures, and a higher ratio of pro-inflammatory bacteria compared to those without LDS, suggesting a possible link between gut health and spinal conditions.
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  • Rapid eye movement (REM) sleep-related bradyarrhythmia syndrome is a rare condition causing heart rhythm issues during REM sleep, unrelated to sleep apnea.
  • A case study of a young man showed he experienced prolonged pauses in his heartbeat during sleep, with the longest pause reaching 12.5 seconds.
  • After assessing his heart rhythm over 14 days and finding mostly normal results, doctors opted for ongoing monitoring rather than immediate intervention like a pacemaker.
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  • - A recent longitudinal study examined the risk factors and outcomes for patients with atrial fibrillation (AF), which is linked to higher chances of stroke and bleeding events.
  • - Researchers analyzed electronic health records of 800 AF patients over three years, finding that older age, hypertension, and anticoagulant use were significant risk factors for these events.
  • - The study highlights the need for targeted management strategies and personalized care to improve patient outcomes in AF, especially regarding the increasing incidence of stroke and bleeding over time.
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Occlusal plane determination plays an evident role in successful rehabilitation of completely edentulous patients. The most commonly used method is by using Camper's plane. But the posterior reference point of Camper's plane is debatable according to available literature.

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Background: Significant morbidity and death are linked to (SP), a prevalent sleep disease. For successful management, it is essential to comprehend its prevalence and the risk factors that are linked with it. The purpose of this study was to look at the prevalence of SP in a large patient group that was visiting a tertiary care facility and to discover risk variables that are connected with it.

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The management of metastatic hormone-sensitive prostate cancer (mHSPC) or castration-sensitive prostate cancer (mCSPC) has become increasingly complex with the tremendous progress that has been made in this space within the past few decades. In the early days of androgen deprivation therapy (ADT), ADT monotherapy was the mainstay for treatment of advanced prostate cancer. However, novel hormone therapies in the form of androgen receptor pathway inhibitors (ARPI) have emerged; vaccine therapy, chemotherapy with docetaxel and cabazitaxel, and radioactive ligands have shaped the treatment of metastatic prostate cancer in the last decade.

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Purpose: Cystine stones, an autosomal recessive disorder caused by cystinuria, result from pathogenic variants of SLC3A1 and SLC7A9. Previous publications revealed that clinical prevalence is higher than genetically predicted prevalence. Heterozygotes in either gene are not stone formers.

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The family was recently proposed encompassing the genera , , , and . Of these genera, contains >50% of the species. However, species form multiple unrelated clades in phylogenetic trees and their evolutionary relationships are unclear.

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Liver fibrosis associated with increased mortality is caused by activation of hepatic stellate cells and excessive production and accumulation of extracellular matrix in response to fibrotic insults. It has been shown that in addition to liver inflammation, systemic inflammation also contributes to liver fibrogenesis. A deeper understanding of mechanisms that control liver fibrotic response to intra- and extra-hepatic inflammation is essential to develop novel clinical strategies against this disease.

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The interdisciplinary nature of immunology can make studying not only engaging but also challenging, as understanding immunologic processes and immune system components requires foundational knowledge from several science disciplines. The University of Alabama at Birmingham has a unique, 4-year, Undergraduate Immunology Program (UIP) that provides a comprehensive curriculum in immunology that includes five core courses starting in the second year, at which point, students are in the process of completing basic science sequences. For this study, students in courses across the UIP curriculum were asked to identify basic science topics that relate to four immunology concepts.

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Rural areas in the US exhibit high rates of illicit substance use. This study aimed to investigate the Social Cognitive Theory factors associated with spontaneous attempts to quit illicit substance use in a sample of users. A cross-sectional survey was administered through face-to-face interviews.

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  • * The multidisciplinary panel of experts evaluated the roles of oral appliance therapy and hypoglossal nerve stimulation, emphasizing the challenges and advantages of implementing these treatments in the U.S. healthcare system.
  • * The discussion also addressed barriers to non-PAP treatment adoption, including access to care, reimbursement issues, and regulatory challenges, while contextualizing these factors with recent events like the PAP device recall and the impact of the pandemic.
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Chronic obstructive pulmonary disease (COPD) is a common but underdiagnosed lung condition that is frequently managed inappropriately. It impacts poorest communities most, where health inequalities are greatest. New acute symptoms of breathlessness, cough, sputum production and wheeze should prompt clinical suspicion of underlying COPD in someone who is a current or ex-smoker (or has exposure to other risk factors) and be followed by referral for quality-assured spirometry once recovered.

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Background: The study was aimed to evaluate gender difference and age & gender specific interaction of in-hospital outcomes of patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI).

Methods: This was a prospective cohort study of 1748 patients with STEMI undergoing primary PCI. The study was dichotomised according to gender to evaluate the difference in the outcome.

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Introduction: Community-based services to sustain independence for older people have varying configurations. A typology of these interventions would improve service provision and research by providing conceptual clarity and enabling the identification of effective configurations. We aimed to produce such a typology.

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