Publications by authors named "Rai M"

Background: Friedreich ataxia is a rare neurodegenerative disorder caused by frataxin deficiency. Both underweight and overweight occur in mitochondrial disorders, each with adverse health outcomes. We investigated the longitudinal evolution of anthropometric abnormalities in Friedreich ataxia and the hypothesis that both weight loss and weight gain are associated with faster disease progression.

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Aim: Local excision (LE) for T1 rectal cancer may be recommended in those with low-risk disease, while resection is typically recommended in those with a high risk of luminal recurrence or lymph node metastasis. The aim of this work was to compare survival between resection and LE.

Method: This was a population-based retrospective cohort study set in the Canadian province of Ontario.

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The ubiquitin-proteasome system is key for proteostasis and its disruption can induce several cellular adaptations. Here, we summarize the range of cellular responses that are induced by perturbation of distinct components of the ubiquitin-proteasome system, and how proteasome stress in a tissue can induce systemic responses in distant tissues.

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Iron deficiency anemia (IDA) is highly prevalent among individuals with heart failure (HF), impacting 40-70% of patients and serving as a significant prognostic indicator. Linked with oxidative metabolism and myocardial cell damage, IDA exacerbates HF symptoms, including reduced exercise capacity, diminished quality of life, and heightened cardiovascular morbidity. This review explores the diagnosis, treatment, clinical outcomes, prognostic indicators, and forthcoming challenges associated with IDA in HF patients.

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Pathogenic fungi represent a diverse group of eukaryotic microorganisms that significantly impact human health and agriculture. In recent years, the role of epigenetic modifications, particularly histone modifications, in fungal pathobiology has emerged as a prominent area of interest. Among these modifications, methylation of histone H3 at lysine-4 (H3K4) has garnered considerable attention for its implications in regulating gene expression associated with diverse cellular processes.

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The clinical management of people with multidrug-resistant (MDR) human immunodeficiency virus (HIV) remains challenging despite continued development of antiretroviral agents. A 58-year-old male individual with MDR HIV and Kaposi sarcoma (KS) was treated with a new antiretroviral regimen consisting of anti-CD4 domain 1 antibody UB-421 and capsid inhibitor lenacapavir. The individual experienced delayed but sustained suppression of plasma viremia and a substantial increase in the CD4 T cell count.

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Faba bean is a nutritionally and medicinally rich popular legume crop. However, vicine-convicine remain as potential threats for "favism" in human beings. In this study, 189 diverse faba bean accessions have been evaluated for yield component traits and vicine content in seeds followed by a correlation study.

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The aim of the current investigation is to explore the novel application of pumpkin, papaya, and orange peels as growth substrates for microalgae cultivation, with the overarching goal of advancing a sustainable "Agro to Agro" biorefinery paradigm. The research evaluates the integration of waste management practices into microalgal production, optimizing growth parameters to maximize output. Optimal concentrations of 2.

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The cultivation of nearly 10,000 indigenous rice landraces in the North-Eastern Hill (NEH) region by various ethnic groups creates opportunities for the utilization of unique landraces through systematic evaluation of genetic variability. In the present study, a set of 102 rice landraces were assessed based on morphological and SSR markers, and five checks in augmented design vis-à-vis high-yielding rice genotypes with stable performance were identified. The presence of high estimates of heritability, genotypic coefficient of variation, and genetic advance over mean indicated the predominance of additive gene action, which necessitated the effectiveness of selection in augmenting productivity.

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Background: Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply several interventions to achieve optimal results. The current study aimed to discover the Effectiveness of Video-assisted Distraction Therapy on Children’s Pain Perceptions during Peripheral Venous Cannulation in Pediatric Wards of Biratnagar, Nepal.

Methods: A quasi-experimental study was conducted at Pediatric Wards of different hospitals in Biratnagar.

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Article Synopsis
  • A study analyzed cancer drug approvals from 2011 to 2023, focusing on whether new drugs are introduced as combination therapies or as stand-alone treatments (monotherapies).
  • Of the 292 drug approvals evaluated, 66.1% were monotherapies and 33.9% were combinations; combinations had higher approval rates and overall survival benefits but were less likely to feature novel drugs.
  • Despite some advantages in response rates for combination therapies, the overall clinical benefits for both drug types were modest, suggesting a need for simpler, more patient-centered cancer treatment approaches.
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Background: Systemic Lupus Erythematosus (SLE) is characterized by dysregulated immune responses, with neutrophil extracellular traps (NETs) playing a significant role. NETs are recognized by autoantibodies in SLE patients, exacerbating pathology. Both excessive NET formation and impaired degradation contribute to SLE pathophysiology.

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Background: The International Society of Nephrology proposes an acute kidney disease (AKD) management strategy that includes a risk score to aid AKD identification in low- and low-middle-income countries (LLMICs). We investigated the performance of the risk score and determined kidney and patient outcomes from AKD at multiple LLMIC sites.

Methods And Findings: Adult patients presenting to healthcare facilities in Bolivia, Brazil, South Africa, and Nepal were screened using a symptom-based risk score and clinical judgment.

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  • - Rice struggles in acidic soils due to nutrient deficiencies and metal toxicities, prompting a study to identify genotypes that perform well in low phosphorus conditions.
  • - Researchers evaluated 234 rice genotypes over two seasons and found 46 low-phosphorus tolerant lines, with specific accessions showing better yields than standard checks.
  • - A genome-wide association study uncovered 10 quantitative trait nucleotides related to yield and phosphorus utilization efficiency, along with 34 candidate genes that could guide future rice breeding efforts.
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  • Systemic Epstein-Barr virus-positive T-cell lymphoma (TCL) in children is rare and often follows an EBV infection, leading to a hyperinflammatory state and poor outcomes, often presenting with hemophagocytic lymphohistiocytosis (HLH) syndrome.
  • The disorder involves a hyperactive immune response and may be linked to genetic alterations on chromosome 22q11.2, increasing the risk of non-Hodgkin lymphoma later in life.
  • A case study of a 21-year-old male who developed HLH from an EBV infection ultimately resulted in a diagnosis of systemic EBV TCL, and despite treatment, he did not survive before receiving a stem cell transplant, highlighting the need for awareness
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Deep vein thrombosis (DVT) is a critical complication and concern in hospitalized patients due to its significant morbidity and mortality. Given the complex and multifaceted pathophysiology surrounding DVT formation, patients who have had surgical interventions faced acute or chronic trauma and prolonged immobility are at substantially high risk. Identifying these risk factors early is essential for early intervention and prophylaxis.

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  • Aberrant chondrocyte metabolism plays a key role in cartilage degeneration and osteoarthritis (OA), with carbonic anhydrase 2 (CA2) showing increased expression in OA chondrocytes, though its specific functions are not fully understood.
  • This study utilized RNA sequencing on CA2-deficient cells to identify affected metabolic pathways and assessed CA2's influence on chondrocyte metabolism during normal and hypoxic/inflammatory conditions.
  • Results revealed that CA2 deficiency impacted glycolysis and cellular functions, highlighting CA2's potential role as a critical regulator of chondrocyte energy metabolism and inflammation in OA, warranting further investigation in animal models.
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  • The study aimed to compare the effectiveness of a web-based cognitive-behavioral therapy program called "Fatigue In Teenagers on the interNET" with videocall-delivered activity management for adolescents aged 11-17 with myalgic encephalomyelitis/chronic fatigue syndrome.
  • Adolescents in the trial received either treatment for six months, and the effectiveness was measured using the 36-item Short Form Health Survey Physical Function subscale.
  • The trial involved random assignment of 314 adolescents, although participants and their families could not be blinded to their treatment group.
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Background: In ayurveda, sciatica can be correlated to ' under (neurological disorders caused by , one of the bodily humour). In this mainly bodily humours and are vitiating producing symptoms like piercing pain, stiffness, twitching, numbness and pain radiating from lumbosacral region to lower limb up to the foot. Therapeutic plan includes stabilizing and bringing back the vitiated vata and kapha humours to equilibrium.

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Loss of proteostasis is a hallmark of aging that underlies many age-related diseases. Different cell compartments experience distinctive challenges in maintaining protein quality control, but how aging regulates subcellular proteostasis remains underexplored. Here, by targeting the misfolding-prone Fluc luciferase to the cytoplasm, mitochondria, and nucleus, we established transgenic sensors to examine subcellular proteostasis in Drosophila.

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Heart transplantation and left ventricular assist devices (LVADs) have emerged as crucial interventions for end-stage heart failure, dramatically improving patient outcomes. This narrative review examines their historical context, indications, procedures, and outcomes, as well as their impact on long-term survival, quality of life, functional status, and mental health. While heart transplantation remains the optimal treatment, donor scarcity limits its application.

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Non-communicable diseases (NCDs), such as cardiovascular disease and diabetes, represent a serious global health concern. There is an urgent need for prompt diagnosis and effective monitoring at point of care, especially in low- and middle-income countries. Here we present the results of a study assessing the quantitative accuracy of two devices that may fit the target product profile for a cardiometabolic point-of-care device.

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Article Synopsis
  • - Cardiovascular diseases are the top global health issue, making accurate diagnosis crucial; artificial intelligence (AI) and machine learning (ML) are being explored for improving cardiovascular imaging techniques like echocardiography and MRI.
  • - The review highlights AI's potential in diagnosing various heart issues, such as coronary artery disease and arrhythmias, which could enhance diagnostic accuracy and personalized treatment.
  • - Despite its promise, challenges such as data quality, interpretability of AI models, and ethical concerns need to be addressed, requiring collaboration among clinicians, data scientists, and policymakers for effective implementation in healthcare.
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