Publications by authors named "Rahul Rai"

Aim: The aim of this study was to study the urethral plate and glans configuration in experimentally created hypospadias in male human cadavers and its comparison with hypospadias patients planned for tubularized incised plate (TIP) urethroplasty.

Materials And Methods: In five fresh human cadavers, hypospadias was created by placing one blade of scissors in the urethra and the other onto the ventral median raphe and cutting through the skin, penile dartos, and urethra and laying open urethral edges were sutured to edges of penile skin to create hypospadias. Urethral plate characteristics were recorded using Likert scale and the glans groove using the Plate Objective Scoring Tool (POST).

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  • - The study explores how evaporating drops of multiple components (like polyethylene glycol and dextran) can cause liquid-liquid phase separation and changes in the arrangement of these components near the drop's edge.
  • - It highlights the dynamics at the contact line where background Marangoni flow interacts with the self-movement of tiny droplets, resulting in both stable and unstable behaviors, affecting how the droplets migrate.
  • - The research provides insights into how tiny droplets formed during evaporation grow and move towards the bulk, with implications for processes ranging from the origins of life to various industrial applications.
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Introduction: The management of acetabular fractures is a complicated orthopedic procedure that has been advancing with time. Newer radiological tools like CT scans help surgeons to identify and manage these fractures more attentively. The study was conducted to evaluate the clinical and radiographic outcomes in patients with acetabular fractures managed either conservatively or by open reduction and internal fixation.

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Background: An important aspect of the preparation of the access cavity and biomechanical preparation of the root canal is to safeguard as much of the tooth's framework as possible without affecting access and visibility.

Objectives: To compare the impact of the conservative design of access preparation and traditional design of access preparation in association with TruNatomy endodontic instrumentation and WaveOne Gold endodontic instrumentation on resistance to fracture by the design of a cavity for endodontic access using finite element analysis.

Materials And Methods: Micro-CT radiographic images of 16 human first permanent molars of the mandible were included in the study to create representative finite element analysis computational models.

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Objective: To find out whether inclisiran sodium has different efficacy in heterozygous familial hypercholesterolemia (HeFH) and homozygous familial hypercholesterolemia (HoFH) patient groups.

Methods: We conducted the systematic review and meta-analysis of ORION clinical trials. PubMed, Embase, and Clinicaltrials.

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Background: Neoadjuvant chemotherapy (NACT) with TPF (docetaxel, cisplatin, and 5FU) is one of the treatment options in very locally advanced oral cancer with a survival advantage over PF (cisplatin and 5FU). TP (docetaxel and cisplatin) has shown promising results with a lower rate of adverse events but has never been compared to TPF.

Methods: In this phase 3 randomized superiority study, adult patients with borderline resectable locally advanced oral cancers were randomized in a 1:1 fashion to either TP or TPF.

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Background: Salivary gland tumours are rare cancers with variable course and prognosis. There is a paucity of data, especially for the advanced stages.

Materials And Methods: This is a retrospective analysis carried out in our institute.

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Gallium nitride (GaN), widely known as a wide bandgap semiconductor material, has been mostly employed in high power devices, light emitting diodes (LED), and optoelectronic applications. However, it could be exploited differently due to its piezoelectric properties, such as its higher SAW velocity and strong electromechanical coupling. In this study, we investigated the affect of the presence of a guiding layer made from titanium/gold on the surface acoustic wave propagation of the GaN/sapphire substrate.

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Article Synopsis
  • AI is utilized in clinical settings to enhance patient care, but there are limited studies that show significant improvements in clinical outcomes.
  • The review discusses the potential applications of AI models from corrosion science to better understand orthopedic alloys.
  • It outlines fundamental AI concepts, examines existing literature on corrosion, and suggests AI models for studying various types of corrosion in titanium and cobalt chrome alloys.
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Purpose: There is a lack of published literature on systemic therapeutic options in cisplatin-ineligible patients with locally advanced head and neck squamous cell carcinoma (LAHNSCC) undergoing chemoradiation. Docetaxel was assessed as a radiosensitizer in this situation.

Methods: This was a randomized phase II/III study.

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  • A non-functional kidney (NFK) is characterized by very low split renal function (<10%) and treatment options like nephrectomy and pyeloplasty are debated.
  • A study was conducted on patients with NFK who underwent ultrasound-guided percutaneous nephrostomy (PCN), followed by a repeat nuclear scan to assess renal function improvement before considering pyeloplasty.
  • Results showed significant improvement in renal function after PCN, leading to successful pyeloplasty in all patients, suggesting PCN followed by pyeloplasty is an effective first-line treatment for NFK without the need for nephrectomy.
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  • - The study explored the effectiveness of adding low-dose nivolumab to a triple metronomic chemotherapy (TMC) regimen for patients with advanced head and neck squamous cell carcinoma, aiming to improve overall survival (OS) among those unable to afford conventional treatments.
  • - Results showed that adding low-dose nivolumab significantly increased the one-year OS rate from 16.3% to 43.4% and improved the median OS from 6.7 months to 10.1 months when compared to TMC alone.
  • - This research is notable as it is the first randomized trial demonstrating that low-dose nivolumab combined with metronomic chemotherapy can serve as a viable alternative for patients lacking access to conventional therapies
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Objective: To study the possibility of creating mucosal valve mechanism at ureteric orifice without obstructing the urine outflow but preventing the urine backflow into the ureters.

Materials And Methods: Ethical waiver was obtained from the institutional ethical committee. Prospective experimental study was conducted on the post-mortem specimen of intact bladder with urethra and bilateral ureters retrieved from the already slaughtered lamb available in the meat market.

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Aims: The aim of the sudy was to evaluate potential role of oral captopril, an angiotensin-converting enzyme (ACE) inhibitor, and in treatment of infantile hemagioma (IH) and report our preliminary results.

Methods: This prospective study included 18 children with IH admitted in the department of pediatric surgery with no history of prior treatment of any type. Baseline blood pressure (BP), electrocardiogram, two-dimensional echocardiography, serum electrolytes, and renal function test (RFT) were noted.

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Purpose: Distal shunt tube migration following ventriculoperitoneal (VP) shunt placement in children is mostly managed by an initial shunt diversion/removal and subsequent replacement. Lately, shunt salvage is being used as an alternative in certain conditions. We have focused on the situations where one can consider or disregard shunt salvage in such cases.

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Arteriovenous malformations (AVMs) of the scrotum are very rare, with only 35 adult cases in the literature. An 8-year-old boy presented with an ulcerated bleeding AVM of the scrotum. The patient was resuscitated and managed conservatively initially.

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Improving agricultural productivity of smallholder farms (which are typically less than 2 ha) is key to food security for millions of people in developing nations. Knowledge of the size and location of crop fields forms the basis for crop statistics, yield forecasting, resource allocation, economic planning, and for monitoring the effectiveness of development interventions and investments. We evaluated three different full convolutional neural network (F-CNN) models (U-Net, SegNet, and DenseNet) with deep neural architecture to detect functional field boundaries from the very high resolution (VHR) WorldView-3 satellite imagery from Southern Bangladesh.

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Context: Better locoregional control and increased overall survival by continuous hyper fractionated accelerated radiotherapy have been shown in unresectable nonsmall cell lung carcinoma (NSCLC). Dose escalation and neoadjuvant chemotherapy (NACT) along with continuous hyperfractionated accelerated radiotherapy week end-less (CHARTWEL) were also tried for improved survival. In this present study, we compared the results of NACT followed by CHARTWEL against NACT followed by conventional concurrent chemo-radiation therapy.

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Background: Regimens for palliation in patients with head and neck cancer recommended by the US National Comprehensive Cancer Network (NCCN) have low applicability (less than 1-3%) in low-income and middle-income countries (LMICs) because of their cost. In a previous phase 2 study, patients with head and neck cancer who received metronomic chemotherapy had better outcomes when compared with those who received intravenous cisplatin, which is commonly used as the standard of care in LMICs. We aimed to do a phase 3 study to substantiate these findings.

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Supernumerary kidney is an accessory kidney with its own vasculature, collecting-system and encapsulated parenchyma with about 100 cases reported in the literature. However, there is no report of supernumerary kidney associated with horseshoe malformation with ureteric stricture. We report a rare case of 20 months old female admitted with left-sided abdomen lump and mild abdominal pain.

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To present a case series of children with eventration of diaphragm who underwent thoracoscopic repair highlighting the technical points and surgical modifications to prevent a recurrence. This is an observational study of patients with diaphragmatic eventration admitted to a tertiary care institute. The study was designed following CARE guidelines endorsed by EQUATOR Network.

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Materials and devices age with time. Material aging and degradation has important implications for lifetime performance of materials and systems. While consensus exists that materials should be studied and designed for degradation, materials inspection during operation is typically performed manually by technicians.

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