Publications by authors named "Raj Patel"

Background: Gastrointestinal stromal tumors (GISTs) are associated with a substantial economic burden to the healthcare system despite their relatively low incidence and prevalence compared to other more common malignancies. This study aimed to evaluate trends in GIST-related hospitalizations, inpatient mortality, and the financial burden of GISTs in the United States.

Methods: The National Inpatient Sample (NIS) database from 2016 to 2020 was used to identify adult hospitalizations (age > 18 years) with a primary diagnosis of GIST.

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Water pollution and the growing demand for zero liquid discharge solutions have driven the development of advanced wastewater treatment technologies. Membrane distillation (MD) is a promising thermal-based process capable of treating high-salinity brines and wastewater. This review provides an in-depth analysis of MD configurations, operating principles, and membrane characteristics while addressing key challenges such as fouling and pore wetting which hinder large-scale implementation.

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This study examines demographic and etiological factors influencing the need for laryngotracheal reconstruction (LTR) by analyzing clinical studies with clear outcome measures, pre- and post-treatment scores, and demographic data while excluding case reports, reviews, and abstracts. A literature search through PubMed and Embase identified 49 articles, which were narrowed to six after abstract analysis. The results indicate that sex, age, and ethnicity were not significant predictors of the need for LTR, whereas the underlying etiology (particularly trauma, prolonged intubation, and idiopathic causes) significantly influenced the necessity for surgery and surgical outcomes.

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Metal halide perovskite single crystals (MHPSCs) are highly promising materials for optoelectronic applications, but their stability is hindered by ion migration, thereby impacting their performance. A key factor to understand this issue is calculating the activation energy. Electrochemical Impedance Spectroscopy (EIS) is a powerful technique for separating ionic and electronic processes, yet traditional analysis is labour-intensive, involving extensive measurements, circuit fitting, and manual data interpretation.

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A palladium(II)/Lewis acid-catalyzed C-H olefination of 2-benzamidopyridine 1-oxide with acrylates followed by intramolecular aza-Michael addition for the synthesis of isoindolinones has been developed. The use of a heterobimetallic Pd(II)/Cu(II) catalyst enhances the efficiency of the reaction, enabling the synthesis of a potential anti-sedative agent.

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Purpose: To evaluate a novel software program (SpikeFinder) that improves quality of measurements obtained by optical low coherence reflectometry (OLCR) biometry (Lenstar).

Setting: Tertiary care academic center.

Design: Retrospective case series.

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Background And Aims: Although every human has the right to overall well-being, refugees worldwide often sustain inadequate healthcare. Türkiye, hosting a large refugee population, raises public concerns about providing equitable healthcare. This study aims to evaluate the Turkish healthcare system's effectiveness and limitations in addressing refugee health needs, identify challenges in accessing care, assess the impact of policies, and propose recommendations for improving refugee life quality.

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People who spend time at the beach at increased risk for ultraviolet light (UV) exposure. This review assessed skin cancer-related knowledge, attitudes, beliefs, and prevention practices among beachgoers and sunbathers at the beach. Relevant articles were search in the following electronic databases: PubMed (Medline), Cumulative Index to Nursing and Allied Health (CINAHL), ERIC, and PsycINFO.

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The global dissemination of SARS-CoV-2 led to a worldwide pandemic in March 2020. Even after the official downgrading of the COVID-19 pandemic, infection with SARS-CoV-2 variants continues. The rapid development and deployment of SARS-CoV-2 vaccines helped to mitigate the pandemic to a great extent.

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The continuing emergence of immune evasive SARS-CoV-2 variants and the previous SARS-CoV-1 outbreak collectively underscore the need for broadly protective sarbecovirus vaccines. Targeting the conserved S2 subunit of SARS-CoV-2 is a particularly promising approach to elicit broad protection. Here, we describe a nanoparticle vaccine displaying multiple copies of the SARS-CoV-1 S2 subunit.

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Article Synopsis
  • Resmetirom is a newly FDA-approved drug for treating metabolic dysfunction-associated steatohepatitis (MASH), a serious liver condition that can lead to cirrhosis and cancer.
  • It has been shown to significantly reduce liver fat, improve liver tissue health, and enhance metabolic health, leading to the resolution of non-alcoholic steatohepatitis (NASH) and fibrosis in many patients.
  • Although it may cause some gastrointestinal side effects, resmetirom is generally considered safe, and ongoing phase 3 trials will provide more information on its long-term effectiveness and safety.
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Background And Aims: In Africa, telemedicine holds great potential to revolutionize surgical care delivery, especially in areas where access to quality treatment is scarce. Data about the use of these services in African countries is, however, limited. To outline the present issues in surgical care delivery, as well as the significant role of telemedicine in advancing surgical care delivery in Africa.

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A simple cobalt-catalyzed, picolinamide-directed C8-H sulfoxamination of 1-naphthalamides with NH-sulfoximines has been developed. This cross-dehydrogenative C-H/N-H coupling reaction offers a facile route to N-arylated sulfoximines, exhibiting high yields, a broad substrate scope, and excellent functional group tolerance and scalability.

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  • The American Society of Pain and Neuroscience (ASPN) recognizes a need for guidelines to help healthcare providers effectively use social media for best practices.
  • A panel of experts conducted research and analyzed literature to develop these best practices for healthcare professionals engaging online.
  • It's essential for providers to understand the impact of social media on patient perceptions and to navigate legal and ethical issues while maintaining a clear and educational online presence.
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  • A 44-year-old man with a family history of LMNA gene mutation experienced symptoms like dizziness, weakness, palpitations, and shortness of breath related to dilated cardiomyopathy.
  • Genetic testing discovered a new potentially harmful mutation in the LMNA gene that had not been linked to dilated cardiomyopathy before.
  • The patient received recommended treatment for dilated cardiomyopathy, and it’s important for patients with LMNA mutations to assess their risk of ventricular tachyarrhythmia (VTA) to decide if they need a preventative implantable cardioverter-defibrillator (ICD).
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A Lewis acid-mediated, 5/6/7/8- reductive hydroalkoxylation cascade on enynols gives expeditious, diastereoselective access to small and medium ring cyclic ethers with a long aliphatic side chain. The brevity of the approach allowed a 4-step, stereoselective total synthesis of (±)-isolaurepan and (±)--lauthisan.

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  • The guideline outlines best practices for diagnosing and managing anogenital herpes in adults in the UK.
  • It covers topics such as treatment for the initial outbreak, handling recurrences, and effective therapy options.
  • The document also emphasizes the importance of prevention strategies and providing supportive, patient-centered counseling.
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  • The updated UK guidelines provide management recommendations for genital herpes simplex virus (HSV) during pregnancy and the first month after birth, addressing both first episodes and recurrences of HSV.
  • They also cover scenarios such as preterm pre-labour rupture of membranes and co-infection with HIV, with specific advice on caring for newborns and preventing postnatal transmission.
  • Aimed at healthcare professionals in various settings, including sexual health and maternity units, these guidelines emphasize that their principles should be applied to all care environments, including community services.
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There is a need to investigate novel strategies in order to create an effective, broadly protective vaccine for current and future severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks. The currently available vaccines demonstrate compromised efficacy against emerging SARS-CoV-2 variants of concern (VOCs), short-lived immunity, and susceptibility to immune imprinting due to frequent boosting practices. In this study, we examined the specificity of cross-reactive IgG antibody responses in mRNA-vaccinated, AstraZeneca-vaccinated, and unvaccinated donors to identify potentially conserved, cross-reactive epitopes to target in order to create a broadly protective SARS-CoV-2 vaccine.

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Kisspeptin and its receptor, Kiss1r, are novel players in the central balance of energy intake and expenditure. Recent evidence also indicates that kisspeptin signalling is important in thermoregulation and generation of the circadian rhythm. We used global Kiss1r knockout mice (Kiss1r KO), which are hypogonadal and develop obesity, to determine the impact of kisspeptin on circadian related behaviour.

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Background: One-lung ventilation in infants is a high-risk procedure. Complications include endotracheal tube occlusion, with grave consequences. Although there are commercially available bronchoscopy simulators, there are no realistic models of infant patients.

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Article Synopsis
  • * A 65-year-old male patient presented with symptoms like tongue fasciculations and dysarthria, leading to the discovery of a tumor near his vagus nerve through imaging.
  • * Management of skull base paragangliomas varies individually, with the decision made in this case to observe the tumor rather than proceed with immediate treatment.
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Background: In June 2021, the Central Drug Standards Control Organization approved a fixed-dose combination tablet containing remogliflozin etabonate (100 mg) and teneligliptin (10 mg) to manage type II diabetes.

Objective: This study aims to develop a stability-indicating RP-HPLC method for quantifying remogliflozin etabonate and teneligliptin in tablet formulations analytical quality by design (AQbD) principles.

Methods: Risk assessment, Plackett-Burman design, and central composite design were employed to understand the impact of independent variables on critical analytical attributes.

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  • Clinical evidence is limited for the use of edoxaban in patients weighing less than 50 kg and more than 120 kg, with recommendations to avoid the drug in those over 120 kg due to concerns about its efficacy.
  • A population pharmacokinetic (PopPK) model was developed using data from 409 patients to analyze how body weight and renal function impact edoxaban levels.
  • The findings indicate that renal function significantly affects edoxaban exposure, and while patients weighing up to 140 kg have similar drug exposure as those at 75 kg, lower body weights lead to reduced exposure due to dose adjustments.
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A conservative approach to restoration assists in preserving the remaining tooth structure of extensively destroyed vital teeth. This case report describes a single-appointment chairside technique for placement of ceramic restorations in posterior teeth. A patient presented for treatment of her mandibular right first molar, which had a fractured resin-based composite restoration.

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