Publications by authors named "R S Hariharan"

Context: Emerging data suggests that patients with a spinal cord injury (SCI) have a higher risk of developing cognitive impairment. The true incidence of cognitive impairment in this group is unclear due to the difficulty in administering commonly used assessment tools, which are dependent on functional abilities e.g.

View Article and Find Full Text PDF
Article Synopsis
  • - The first audit of LGBTQ+ inclusivity in UK fertility care reveals significant shortcomings in clinical knowledge and cultural competence, particularly affecting transgender and gender diverse patients.
  • - Despite some efforts to improve inclusivity, systemic barriers like cisheteronormativity and discrimination persist, leaving LGBTQ+ patients under-represented in both research and practice.
  • - A checklist for enhancing LGBTQ+ inclusivity was co-developed with community members, focusing on cultural competence, clinical considerations, and online presence, highlighting the urgent need for better support and understanding in fertility care.
View Article and Find Full Text PDF

The CHA2DS2-VASc [congestive heart failure, hypertension, age (≥75 years earns 2 points, 65-74 years earns 1 point), diabetes mellitus, prior stroke, transient ischemic attack, or thromboembolism (2 points), vascular disease (eg, prior myocardial infarction, peripheral artery disease), and female sex category] score has demonstrated potential as a prognostic indicator for adverse outcomes in patients with heart failure (HF). This systematic review and meta-analysis aimed to assess the predictive accuracy of the CHA2DS2-VASc score in determining the occurrence of stroke and mortality in HF patients. We did a thorough search of electronic databases until December 2023.

View Article and Find Full Text PDF

Background: There remains an imperative need to accurately map the left atrium in the setting of atrial fibrillation. While the pulmonary vein segmental ostial isolation plays a significant role in atrial fibrillation, clinical attempts to selectively ablate near the pulmonary vein myocardial sleeves have demonstrated a higher recurrence rate of arrhythmia given less precise mapping modalities. However, novel omnipolar mapping technology coupled with Advisor™ HD Grid Mapping Catheter may provide an advantageous profile to map and selectively ablate near the myocardial sleeves.

View Article and Find Full Text PDF
Article Synopsis
  • Cancer survivors often face negative effects on their quality of life due to treatment side effects, lingering health issues, and the risk of recurrence.
  • Utilizing data-driven methods to assess and enhance wellness can significantly benefit the well-being of these survivors.
  • Personalized nutrition and exercise plans, informed by data, could potentially help reduce the chances of cancer recurrence and the development of new cancers in survivors.
View Article and Find Full Text PDF