Publications by authors named "Rahul K Sharma"

Objective: Oral cavity malignancies (OCC) and oropharyngeal malignancies (OPC) historically have higher rates of positive surgical margins (PSM) compared to other solid malignancies. The objective of this study is to understand trends and predictors in positive surgical margins (PSM) for OPSCC and OCSCC using the National Cancer Database (NCDB).

Study Design: Retrospective Cohort Study.

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Hepatotoxicity is a critical health hazard, primarily contributing to the increased incidence of deaths globally. The liver is one of the major and extremely vital organs of the human body. Autoimmune diseases, viruses, exposure to toxicants such as carcinogens, and changes in eating habits can all cause liver problems, among other things.

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Diabetic bone disease, a form of secondary osteoporosis, is characterized by weakened bones and an increased risk of fractures, especially in patients with type 2 diabetes (T2D). This review explores the key mechanisms driving this condition, including hyperglycemia, insulin resistance, advanced glycation end products (AGEs), and proinflammatory cytokines, all of which disturb normal bone turnover by disrupting the functions of osteoblasts and osteoclasts. We examine the roles of bone turnover and mineralization, as well as how microvascular complications affect bone microarchitecture.

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  • Sabatier's principle-based volcano plots help in designing catalysts but set limits on catalytic performance.
  • Subnano clusters offer better performance by utilizing noble metals more efficiently, but their complex structure-activity relationship makes understanding their varied catalytic activity challenging.
  • A machine learning framework was developed to analyze and predict the oxygen reduction reaction activity of subnanometer catalysts, revealing new insights into catalyst design and leading to the identification of five promising electrocatalysts that perform as well as or better than traditional platinum surfaces.
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  • Researchers are investigating low-cost and efficient electrocatalysts for oxygen reactions, which are key for renewable energy technologies.
  • The study focused on subnano clusters from different transition metal series, revealing that their catalytic activities change in a complex way depending on their size.
  • Gold clusters were found to be the most effective catalysts for both reactions, with new methods used to analyze factors influencing their performance, particularly the importance of d-band filling.
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  • - AI is significantly advancing technology in various fields, particularly in health care, where it has the potential to enhance patient outcomes in facial plastic and reconstructive surgery (FPRS).
  • - Recent developments in automated AI approaches have improved the simulation and analysis of surgical outcomes in procedures like rhinoplasty and facelifts, benefiting the planning and consultation stages.
  • - The integration of AI helps facial plastic surgeons with preoperative preparation, intraoperative strategies, and objective evaluation of results, ultimately leading to better patient care and enhanced postoperative results.
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  • This study compares the costs and patient satisfaction between reconstructive surgery for skin cancer defects performed in the operating room (OR) versus in a clinic setting.
  • It analyzes data from over 1,200 patients to determine that procedures in the OR are significantly more expensive ($2,308) than those done in the clinic ($987), but patient satisfaction scores are similar between both settings.
  • The findings suggest that reconstructive surgeries in the clinic are not only more cost-effective but also maintain a comparable level of patient satisfaction, which could influence surgeons' decisions regarding where to perform these procedures.
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To examine trends in the gender composition of residents and faculty in Otolaryngology-Head and Neck Surgery residency programs in the United States and to investigate the correlation between women's representation in leadership positions and the proportion of women faculty and residents. A literature review was first performed to analyze trends in the gender composition of residents and faculty in Otolaryngology-Head and Neck Surgery (OHNS) residency programs. Current residency programs were then identified using the Electronic Residency Application Service 2023 Participating Specialties and Programs website.

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  • Parotid gland cancers are rare in children but can lead to serious health issues, and there is limited research on how these cancers affect different racial and ethnic groups.
  • The study analyzed 149 pediatric cases from a national database, focusing on factors like tumor size, survival rates, and treatment differences among different racial and ethnic backgrounds.
  • Findings revealed that non-Hispanic Black, Asian, and Hispanic patients typically had larger tumors at diagnosis and faced different survival outcomes, indicating a need for improved care for these underserved populations.
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  • * Current research has identified some risk factors for these infections, such as patient health and surgical details, but changes based on these factors haven’t significantly reduced infection rates.
  • * Understanding how the oral microbiome contributes to these complications could lead to new, targeted treatments that may lower infection rates and improve recovery for patients undergoing oral cancer surgery.
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Objective: To evaluate the effect of prophylactic antibiotics on outcomes and complications following surgical reconstructions of nasal Mohs defects in the outpatient setting.

Study Design: Retrospective cohort study.

Setting: Single tertiary care center, July 2021 to June 2023.

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Objective: Few studies have examined the impact of preoperative and surgical factors on the change in cosmetic survey scores after nasal Mohs reconstruction using a subset of the 10-item Standardized Cosmesis and Health Nasal Outcomes Survey-Cosmesis (SCHNOS-C). We aim to determine preoperative and surgical factors that impact cosmetic outcomes following Mohs nasal reconstruction.

Study Design: Retrospective analysis.

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 Iatrogenic injury to the internal carotid artery (ICA) is one of the most catastrophic complications of endoscopic sinus and skull base surgery. Previous research has shown that packing with a crushed muscle graft at the injury site can be an effective management technique to control bleeding and prevent the need for ICA sacrifice. Here, we describe a novel and readily available repair donor site-an autologous lateral tongue muscle patch.

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  • This study investigates the outcomes of patients who underwent free flap reconstruction of the head and neck and were shifted from ICU monitoring to general ward care post-surgery.
  • The research included 150 patients and found that although the length of stay in general hospitals decreased slightly, the ICU stay decreased significantly, with no increase in complications or failures related to the surgery.
  • The results suggest that transitioning care from ICU to general wards for these patients is safe and efficient, although more training might help reduce the need for emergency responses in the future.
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The development of metal-free bifunctional electrocatalysts for hydrogen and oxygen evolution reactions (HER and OER) is significant but rarely demonstrated. Porous organic polymers (POPs) with well-defined electroactive functionalities show superior performance in hydrogen evolution reaction (HER) and oxygen evolution reaction (OER). Precise control of the active sites' local environment requires careful modulation of linkers through the judicious selection of building units.

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  • The study analyzed data from the ACS Trauma Quality Improvement Program database from 2016 to 2019, focusing on adult patients with facial fractures who underwent surgery.
  • It found that the median time to surgery was 2 days, with most patients having a single fracture; a higher complication rate was associated with surgeries performed after 2 days.
  • The research concludes that delays in treating facial fractures increase the risk of complications, particularly highlighting that Hispanic patients experienced delays in care despite injury characteristics being the main predictors.
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Objectives: Microtia and anotia repair require techniques that consider both aesthetics and function. The outcomes of different reconstructive frameworks such as costal cartilage or a porous polyethylene implant have not been evaluated on a national scale. We aim to understand differences in outcomes/complication rates and operative times between different reconstructive frameworks used in microtia/anotia reconstruction.

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Objective: Hearing aids (HAs) are designed for speech rather than music listening. The impact of HAs on music enjoyment is poorly studied. We examine the effect of HAs on active music enjoyment in individuals with varying levels of hearing loss (HL).

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Objective: This study utilized a population database to investigate how social environments are associated with outcomes including stage at diagnosis, multimodal treatment, and disease-specific survival for oral cavity squamous cell carcinomas.

Methods: Retrospective analysis of adults with oral cavity squamous cell carcinoma between 2007 and 2016 from the Surveillance, Epidemiology, End Results (SEER) registry was performed. The CDC's social vulnerability index (SVI) was used to characterize social vulnerability at the county level.

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Objective: Surgical management of cleft lip/palate and cleft rhinoplasty have historically been performed by plastic surgeons. No study has addressed temporal trends in cleft-associated surgeries. This study assesses trends in cleft surgical management and complications in a national database.

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Dilated cardiomyopathy (DCM) is distinguished by ventricular chamber expansion, systolic dysfunction, and normal left ventricular (LV) wall thickness, and is mainly caused due to genetic or environmental factors; however, its aetiology is undetermined in the majority of patients. The focus of this work is on pathogenesis, small animal models, as well as the herbal medicinal approach, and the most recent advances in imaging modalities for patients with dilated cardiomyopathy. Several small animal models have been proposed over the last few years to mimic various pathomechanisms that contribute to dilated cardiomyopathy.

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This century's most serious catastrophe, COVID-19, has been dubbed "the most life-threatening disaster ever". Asthmatic persons are even more prone to COVID-19's complex interplay with the underlying inflammatory condition. In order to protect themselves against COVID-19, asthmatic patients must be very vigilant in their usage of therapeutic techniques and drugs (.

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