Publications by authors named "Raja K"

Background & objectives Cancer is a leading cause of death worldwide and constitutes a public health priority. Delays in diagnosis and treatment of cancer can adversely impact survival, recovery, and cost of treatment. The objective of this study was to estimate the proportion seeking timely care among those having early warning signals for oral, breast or cervical cancer and to explore the facilitators and barriers to early detection.

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Acute liver failure (ALF) is a rare and dynamic syndrome occurring as a sequela of severe acute liver injury (ALI). Its mortality ranges from 50% to 75% based on the aetiology, patients age and severity of encephalopathy at admission. With improvement in intensive care techniques, transplant-free survival in ALF has improved over time.

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Rheumatic heart disease (RHD) remains the leading cardiac problem affecting pregnant women, especially in low- to middle-income countries. In nearly one-third of the cases, it is detected during pregnancy when they present with complications. Infective endocarditis (IE) in pregnancy is rare, with an incidence of 1 in 100 000 pregnancies, and carries high maternal and fetal morbidity and mortality.

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High-output Chyle leak is a dreadful complication following neck dissection, posing challenges in management due to the morbidity associated with prolonged leakage. This case series describes the efficacy of a novel Indocyanine Green (ICG) Fluorescence-guided Robotic Transthoracic thoracic duct ligation technique in intractable high-output chyle leaks following neck dissection. Three patients with persistent high-output chyle leaks following neck dissection underwent robot-assisted thoracic duct ligation.

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Tracheostomy is a surgical procedure to create an opening in the neck to insert a tube into the trachea to help a person breathe. Proper cleaning and care of the tracheostomy tube is vital to prevent infections. Patients frequently use the internet to learn about tracheostomy tube care before and after the procedure.

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Sublingual hematoma is a serious complication associated with anterior mandible surgery. It presents considerable risk due to the potential for airway obstruction, which can be life-threatening and necessitates prompt diagnosis and intervention. This case report describes the occurrence of sublingual hematoma following mandibular midline osteotomy and the subsequent management of this condition.

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Objectives: "Liver clots" are an uncommon complication following periodontal surgery, characterized by their distinctive gelatinous consistency and color resembling 'liver' tissue. Despite anecdotal reports, there is a lack of comprehensive evidence in the literature regarding its incidence, etiopathogenesis and optimal management strategies. This study aimed to address this knowledge gap by retrospectively analyzing cases to provide insights into this unusual post-operative complication.

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Article Synopsis
  • Endomyocardial biopsy is the standard method for monitoring heart transplant rejection, but this study explored a non-invasive index for assessing left ventricular relaxation in pediatric patients.
  • The researchers analyzed data from 65 pediatric heart transplant patients who underwent 246 procedures to compare the new left ventricular relaxation index with traditional biopsy results for detecting cellular rejection.
  • The findings showed that while the index had good sensitivity (100%) for identifying higher grades of rejection (2R and 3R), it lacked specificity (23%), indicating it may not be a reliable predictor of cardiac rejection in these patients.
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Aim: This split-mouth observational study was conducted to assess the reliability and safety of using the coronoid notch and occlusal plane as landmarks to aid surgeons during bilateral sagittal split osteotomy (BSSO).

Materials And Methods: Thirteen patients between the ages of 18 and 30 years, with class II and class III mandibular skeletal malocclusion requiring BSSO, were randomly selected and assigned to each of the study and control groups. A split-mouth study was chosen to conduct this research.

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 Endoscopic transsphenoidal surgery (ETS) is the standard practice in pituitary surgeries. The sellar exposure becomes the main factor which determines the residual disease in ETS. Not many studies can be found in the literature on the influence of anatomical variations of the sphenoid on intraoperative sella exposure.

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Objective: This study aims to present a series of patients with disseminated rhinosporidosis with diagnostic and therapeutic features.

Methods: A retrospective study was conducted in a tertiary health care centre in South India from 2007 to 2020 with disseminated rhinosporidiosis. Twelve patients with multiple sites of involvement like the nose, nasopharynx, oropharynx, larynx, lacrimal sac and skin were included in the study.

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The use of electronic health records (EHRs) holds the potential to enhance clinical trial activities. However, the identification of eligible patients within EHRs presents considerable challenges. We aimed to develop a CriteriaMapper system for phenotyping eligibility criteria, enabling the identification of patients from EHRs with clinical characteristics that match those criteria.

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Introduction: The utilization of skin adhesives for closure is typically secondary to its noninvasive application and aesthetic benefits. Allergic reactions to Dermabond™ can occur, though there are no reported cases in pediatric patients following cardiac implantable electronic device (CIED) implantation. The allergic reaction to skin glues is typically to cyanoacrylates, the primary component of Dermabond™.

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Background: The development of effective anti-cancer medicines with low side effects is imperative as cancer continues to be a leading cause of death globally. By obstructing the survival and growth of cancer cells, small-molecule medications have made tremendous progress in the field of cancer research. Several bioactive heterocyclic compounds, including derivatives of piperidine and 2,3-dihydrobenzofuran, have shown great promise and are found in various anti-cancer medications.

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Article Synopsis
  • Carbon Dots (CDs) were created from peanut shells via pyrolysis, showing an average size of 2-5 nm and an amorphous structure, and were characterized using various analytical techniques.
  • The PNS-CDs were applied as both priming and foliar agents to improve seed quality and productivity in blackgram, with optimal concentrations of 200 ppm for priming and 50 ppm for foliar spray yielding the best results in germination and various growth metrics.
  • The combination of seed priming and foliar spray significantly boosted photosynthetic efficiency and overall crop yield, showcasing the potential of using PNS-CDs as a sustainable agricultural tool that utilizes waste materials for enhanced productivity.
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  • - A middle-aged woman was treated for orbital cavernous hemangioma using a medial orbitotomy and a cryoprobe.
  • - This innovative method combines open surgery with cryoextraction, enhancing bleeding control and reducing surgery time.
  • - The report highlights the advantages of this approach compared to the modern trend of endoscopic surgeries.
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  • Hypoalbuminemia, or low albumin levels, in critically ill patients, particularly those with cardiac issues, is linked to higher mortality rates, especially when undergoing veno-arterial (V-A) ECMO treatment.
  • A study analyzed albumin levels in 318 patients needing V-A ECMO, finding that those with pre-ECMO albumin levels ≤3 g/dL had a significantly higher in-hospital mortality rate (44.9%) compared to those with higher levels (27.5%).
  • The research suggests that lower pre-ECMO albumin levels are correlated with not only increased mortality but also more complications, like the need for platelet transfusions and gastrointestinal bleeding, indicating that albumin levels could
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Background: External ventricular drain (EVD)-related infection (ERI) is a common complication in cranial neurosurgery practice with high mortality. The risk factors associated with ERI are not well studied in low- and middle-income countries (LMIC) like India. Identifying the risk variables is a necessity to design robust evidence-based care bundles for ERI prevention.

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Background: Insulin resistance (IR) is one of the independent determinants influencing the length of hospital stay (LOHS) and postoperative complications in colorectal procedures. Preoperative oral carbohydrate loading (OCL) has emerged as a prospective countermeasure for IR. This study aimed to investigate the effects of preoperative carbohydrate loading on postoperative IR, inflammatory parameters, and clinical outcomes in patients undergoing elective colorectal surgery.

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Background: Children with cerebral palsy (CP) present unique challenges to physical activity due to various factors. Despite the benefits of inclusive approaches and adapted physical education, low- and middle-income countries face specific barriers including environmental, equipment, personal, policy, social and professional barriers. Traditional Indian games, with their cultural significance and potential therapeutic benefits, offer a promising avenue for inclusive adaptations.

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To assess the Knowledge, Attitude, and Practice on Noise Induced Hearing Loss(NIHL) caused by using Personal Listening Devices (PLD). To assess the usage pattern of PLD among undergraduate medical students studying at a tertiary health center in South India. A descriptive study was conducted by the Department of ENT over a three-month duration on undergraduate medical students who volunteered to fill in an electronic questionnaire form that they received via WhatsApp.

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Spontaneous vaginal delivery in a tracheostomised woman is rare and literature concerning the same is also very limited, hence this might help in considering vaginal delivery at term as an option in such patients when there are no medical or obstetrical contraindications for the same. We present a case of a 24 years female patient hailing from Tamil Nadu in South India, who was tracheostomised secondary to subglottic stenosis, presented to Otorhinolaryngology department at thirty-eight weeks of gestation to know the possibility of a vaginal delivery at term. Since the patient had an uneventful obstetrical history and no medical or obstetrical contraindications for a vaginal delivery, patient was advised breathing exercises including Valsalva manoeuvre and kept under close follow up.

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Article Synopsis
  • - Henipaviruses, including Cedar, Langya, and Nipah, are highly lethal zoonotic viruses with no current treatments, prompting researchers to investigate non-toxic compounds from Indian Medicinal Plants for potential antiviral properties.
  • - Out of 57 selected compounds, three—andrographolide, pterygospermin, and Salidroside—showed excellent non-toxic properties and performed well in in silico testing against henipavirus proteins.
  • - Andrographolide emerged as the most promising candidate due to its strong binding potential with Cedar Virus proteins, while pterygospermin and Salidroside showed effectiveness against Langya and Nipah viruses, showcasing antiviral and additional health benefits that warrant further
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