Publications by authors named "Samuel S"

The transition period from automation to manual, known as the takeover process, presents challenges for drivers due to the deficiency in collecting requisite contextual information. The current study collected drivers' eye movement in a simulated takeover experiment, and their Situation Awareness (SA) was assessed using the Situation Awareness Global Assessment Technique (SAGAT) method. The drivers' Stationary Gaze Entropy (SGE) was calculated based on the percentages of time they spent on six pre-defined Areas of Interests (AOIs).

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Background: The transition from pediatric to adult care is a period associated with adverse health outcomes (e.g., health care dropout, health deterioration and poor adherence to management) for adolescents and young adults (AYA) with chronic conditions and their caregivers.

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Background: Adolescents and emerging adults (AEA) with chronic health conditions may face numerous challenges when undergoing the transition from pediatric to adult health care. Despite the need for engagement with AEA in health research, little is known about how researchers operationalize this engagement. In an effort to enhance transparency in the practices of patient engagement, this commentary details the process of developing a pediatric-adult transition-specific youth advisory council in Alberta: the Transition Research Advisory Council (TRAC).

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Introduction: The transition from pediatric to adult care poses challenges for adolescents and young adults (AYA) with chronic conditions and their caregivers. A patient navigator (PN) intervention may mitigate transition-related barriers.

Methods: A qualitative study was conducted within a pragmatic randomized controlled trial.

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Background: Hemodynamic changes are independent risk factors for long-term patient morbidity and duration of hospital stay. According to the statistics, the three most prevalent complications in the postanaesthesia care unit were airway events, haemodynamic instability, and postoperative nausea and vomiting. Hemodynamic instability in the postanaesthesia care unit can result in serious complications, such as long-term patient morbidity and prolonged hospital stays.

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Why severe injury to the central nervous system (CNS) triggers the development of large neurogenic heterotopic ossifications (NHOs) within periarticular muscles remains unknown. We report that spinal cord injury (SCI) triggers a rapid corticosterone spike in mice, which is causal for NHO development because treatments with corticosterone or the synthetic glucocorticoid (GC) receptor (GR) agonist dexamethasone are sufficient to trigger heterotopic ossification and upregulate the expression of osteoinductive and osteogenic differentiation genes in injured muscles even without SCI. The central role for GR signaling in causing NHO is further demonstrated in mice deleted for the GR gene (Nr3c1), which no longer develop NHO after SCI.

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Background: Hypotension is an independent predictor of long-term patient morbidity and duration of hospital stay. Multiple factors contribute to the development of intraoperative hypotension. Prevention and treatment of these factors may reduce patients' hypotension and its associated morbidity and mortality.

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The plant-microbe interactions, which is crucial for plant health and productivity, mainly occur in rhizosphere: a narrow zone of soil surrounding roots of living plants. The rhizosphere hosts one of the most intense habitats for microbial prey-predator interactions, especially between predatory protists and bacteria. Here, based on two key facts, microbial predators modulate rhizobacterial community composition, and the rhizobacterial community is the primary source of root microbiome, endophytes; we hypothesized that predation upon rhizobacteria would modulate the community composition of endophytic bacteria.

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Bungarus (krait) envenomings are well-known for their life-threatening neurotoxic effects. However, their impact on coagulation remains largely unexplored experimentally or clinically. This study, examined the effect of begins to examine venoms from four Bungarus species-B.

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  • Cinemeducation, a method that uses film to enhance learning, showed potential for improving students' humanistic skills and engagement, particularly in the context of rare diseases like inborn errors of metabolism.
  • A study involving 100 first-year MBBS students used film clips from "Lorenzo's Oil" and "Extraordinary Measures" to teach about lipid metabolism and lysosomal storage disease, respectively.
  • Results indicated that while academic performance improved with "Extraordinary Measures," no similar benefit was observed with "Lorenzo's Oil," although both students and instructors expressed satisfaction with the cinemeducation approach.
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  • * A case study highlighted a 70-year-old woman treated for Ludwig angina using a superficial cervical plexus block, which allowed for successful surgery and stable postoperative recovery without major complications.
  • * Proper airway management is crucial in treating Ludwig angina, as many patients require advanced care measures; however, there is still a lack of consensus on the best practices among healthcare providers.
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Introduction complex(BCC) is one of the most common polymyxin-resistant Gram-negative bacilli isolated in the clinical microbiological laboratory. They are often underreported when conventional biochemicals are used for identification, due to their similarity to other non-fermenting bacilli. It is essential to identify BCC using simple biochemical tests with good reliability to ease the identification of BCC in resource-limited settings and initiate treatment.

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Background: In July 2021, the Alappuzha district in Kerala, India, reported an unexpected number of acute gastroenteritis (772) cases (Outbreak A). On October 10, 2021, a university in Wayanad, Kerala, reported 25 acute gastroenteritis cases (Outbreak B). We described both the outbreaks and determined the agent, source and risk factors.

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  • Snakebite envenoming (SBE) causes over 500,000 deaths or serious injuries annually, and a phase II clinical trial was conducted to evaluate the safety and efficacy of varespladib methyl, an oral treatment, in patients bitten by venomous snakes.
  • The trial, which was double-blind and placebo-controlled, enrolled patients in emergency departments in the USA and India, assessing changes in severity of snakebite symptoms using the Snakebite Severity Score (SSS) after treatment.
  • Results indicated no significant difference in SSS improvement between the varespladib and placebo groups overall, but early treatment (within 5 hours of the bite) showed potential benefits in illness severity and recovery outcomes.
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  • A hemolytic transfusion reaction results from immunological incompatibility between donor and recipient blood, leading to red blood cell destruction and symptoms of increased red cell death, even in rare cases of compatible transfusions.
  • The case presented involves a 27-year-old pregnant woman with blood group AB positive who experienced anemia and hypotension due to antepartum hemorrhage; she underwent surgery, was monitored, and was discharged with stable lab results after three days.
  • Acute hemolytic transfusion reactions are rare but serious, occurring in about 1 in 70,000 transfusions; typical symptoms may not be obvious if the patient is anesthetized, highlighting the need for careful monitoring post-transfusion
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  • IgA nephropathy and IgA vasculitis with nephritis are kidney conditions that can occur in kids, but they're pretty rare.
  • Unlike adults, children often show more severe symptoms quickly, like blood in their urine, and their kidneys look more inflamed when doctors check.
  • There's not a lot of good information on how to treat these conditions because they're different in kids, and experts from around the world are trying to figure out better ways to help affected children.
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Encephalitis is characterized by inflammation of the brain parenchyma with typical presenting symptoms of altered mental status and seizures. However, diagnostic workup is complex given the multitude of possible etiologies for encephalitis. Further, recurrence of encephalitis is rare, and understanding its risk factors, mechanisms, prognosis, and optimal treatment remains incomplete.

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Traumatic brain injury (TBI) presents complex management scenarios, particularly in patients requiring anticoagulation for concurrent conditions such as venous thromboembolism (VTE) or atrial fibrillation (AF). A systematic search of PubMed/MEDLINE, Embase, and the Cochrane Library databases was conducted to identify relevant studies. Inclusion criteria encompassed studies assessing the effects of anticoagulation therapy on outcomes such as re-hemorrhage, hematoma expansion, thrombotic events, and hemorrhagic events in TBI patients with subdural hematomas (SDH).

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  • - Acute esophageal necrosis is a serious condition that causes the lower esophagus to develop black, dead tissue due to multiple factors like reduced blood flow and reflux of stomach acid.
  • - Complications can include narrowing of the esophagus or even tears in the esophagus, making this a potentially dangerous condition.
  • - Treatment focuses on supportive care, such as fixing underlying health issues, providing fluids, using antacids, and limiting food intake; a specific case involves a patient with severe heart disease and muscle breakdown.
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  • The study investigated how age, education, and sex/gender relate to performance in semantic fluency, which is the ability to generate words within a certain category.
  • Data from 2,391 individuals across three different cohorts were analyzed, measuring factors like average cluster size and lexical decision response time in addition to the total number of words generated.
  • Results indicated that older age and being female were both linked to lower performance in word generation, while higher education correlated with better performance across various metrics, showing consistent trends across different cohorts.
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Background: In nephrotic syndrome, protein leaks from the blood into the urine through the glomeruli, resulting in hypoproteinaemia and generalised oedema. While most children with nephrotic syndrome respond to corticosteroids, 80% experience a relapsing course. Corticosteroids have reduced the death rate to around 3%; however, corticosteroids have well-recognised potentially serious adverse events such as obesity, poor growth, hypertension, diabetes mellitus, osteoporosis, cataracts, glaucoma and behavioural disturbances.

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Background: Clinical judgment is essential in determining the need for specialist consultation. We evaluated patients for whom the pulmonary team was consulted for unspecified hypoxia or acute hypoxic respiratory failure to better understand the characteristics and outcomes of such encounters.

Methods: We retrospectively studied patients who received consults for unspecified hypoxia or acute hypoxic respiratory failure at a tertiary center.

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Monitoring mosquito host choice to identify high-risk groups for different vector-borne diseases is important to devise vector control strategies and disease management. The present study was conducted to develop and validate a PCR-based method to identify human sex in blood-fed Aedes aegypti mosquitoes. Several human genes present in both the X and Y chromosomes were screened and diagnostic PCR primers were successfully designed and amplified for the human STS gene.

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