Publications by authors named "Sanghavi R"

Background: Adolescents comprise one-sixth of the world's population, yet there is no clear understanding of the features that promote adolescent-friendly services (AFS). The lack of clarity and consistency around a definition presents a gap in health services.

Methods: The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.

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  • Polyethylene terephthalate (PET) is a major contributor to plastic waste, and depolymerizing it into its basic components, dimethyl terephthalate (DMT) and ethylene glycol, offers a way to reclaim valuable materials.
  • The process is often performed using methanolysis with catalysts, and tertiary amines are highlighted as effective base catalysts because they produce less harmful waste compared to metal-based options.
  • Recent research using density functional theory reveals that the methanolysis process with tertiary amines occurs in multiple steps, which helps explain DMT yields and provides insights for designing more efficient and eco-friendly catalysts in the future.
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Objectives: Prolonged antibiotic use after birth is associated with neonatal feeding intolerance and functional gastrointestinal disorders (FGIDs). A gastric dysrhythmia (tachygastria) with frequencies >4-9 cycles per minute, measured by electrogastrography (EGG), is associated with FGIDs. The relationship between prolonged antibiotic use and % time spent in tachygastria is unknown in preterm infants.

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Cold atmospheric plasma (CAP) has been studied and clinically applied to treat chronic wounds, cancer, periodontitis, and other diseases. CAP exerts cytotoxic, bactericidal, cell-proliferative, and anti-inflammatory effects on living tissues by generating reactive species. Therefore, CAP holds promise as a treatment for diseases involving chronic inflammation and bacterial infections.

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  • Bacteria like Group B Streptococcus (GBS) can lead to serious issues during pregnancy, including preterm births and infections in newborns.
  • GBS produces an enzyme called hyaluronidase that breaks down a component called hyaluronan in the host, which weakens the immune response and allows the bacteria to spread more easily.
  • This study reveals that GBS's hyaluronidase (HylB) promotes immune suppression during pregnancy and involves specific immune receptors (TLR2, TLR4) and the cytokine IL-10, highlighting the need for better understanding to create effective treatment options.
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The rate of cell proliferation is a crucial factor in cell production under good manufacturing practice (GMP) control. In this study, we identified a culture system for induced pluripotent cells (iPSCs) that supports cell proliferation and viability and maintains the cells in an undifferentiated state even at 8 days after seeding. This system involves the use of dot pattern culture plates that have been coated with a chemically defined scaffold which has high biocompatibility.

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  • Hemolytic lipids, like granadaene from Group B Streptococcus (GBS), are harmful to immune cells and contribute to infections in both newborns and adults.
  • Immunization with a synthetic safe version of granadaene (R-P4) has shown to enhance immune responses, leading to improved protection against GBS infections in mice.
  • Key immune cells, particularly CD4+ T cells and iNKT cells, play a crucial role in this protection, suggesting that targeting lipid cytotoxins could be an effective strategy for developing new therapies.
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Society awards are an important component of recognition in medicine and for career advancement such as promotion. Multiple studies conducted in pediatrics and gastroenterology have shown underrepresentation of women awardees even in fields with a higher proportion of women than men. To our knowledge, no such studies have been conducted in pediatric gastroenterology.

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Enteral feeding is challenging in preterm infants because of gastrointestinal (GI) immaturity. Electrogastrography (EGG) is a non-invasive technology that measures gastric myoelectrical activity and can be utilized to measure changes that occur with maturation at different gestational ages (GA). Three gastric rhythms (GR) exist between 0.

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Objectives: Tachygastria is a gastric dysrhythmia (>4 to ≤9 cycles per minute, cpm) associated with gastric hypomotility and gastrointestinal disorders. Healthy preterm infants spend more time in tachygastria than adults; however, normative values are not defined. We sought to determine the percent of time preterm infants spend in tachygastria.

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Objective(s): To evaluate the association of Electronic Health Record (EHR) skills and available support with job satisfaction for pediatric faculty at an academic institution. To identify key opportunities for improvement.

Study Design: Cross-sectional study of pediatric academic faculty physicians using a REDCap survey to inquire about faculty EHR skills, support services, and associations between EHR workflow and job satisfaction.

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Cardiac implantable electronic device infective endocarditis is a serious infection with poor prognosis. The systematic review of the literature was conducted using searches from the various databases. We included studies published between January 2010 and June 2021.

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Background: Malpositioned central venous access devices (CVADs) can lead to significant patient injury including central vein thrombosis and dysrhythmias. Intra-cavitary electrocardiography (IC ECG) has been recommended by peak professional bodies as an accurate alternative for bedside CVAD insertion, to reduce risk of malposition and allowing immediate use of the device. Our objective was to compare the effect of IC ECG on CVAD malposition compared to traditional institutional practice for CVAD placement.

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Background: Higher medication anticholinergic burden is associated with increased risk of cardiovascular disease and cognitive decline. A mechanistic pathway has not been established. We aimed to determine whether inflammation may mediate these associations.

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Marble industry worldwide produces large amount of non-degradable marble dust powder (MDP) waste during mining and processing stages. MDP mainly comprises of CaCO with small amounts of Mg, Fe or Si in various forms. In India, mainly in Rajasthan state, marble is quarried in huge amounts and MDP thus produced is collected improperly and dumped at any abandoned land or identified disposal sites.

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Nanosizing has emerged as one of the most effective formulation strategies for enhancement of dissolution properties of active pharmaceutical ingredients (APIs). In addition to enhancing the specific area of the dissolving solids, nanosizing can also capture and stabilize the metastable form of the API, which can further enhance the solubility by drastic modulation of surface energies. Herein, we employ meniscus-guided coating to fabricate nanothin films of three APIs that show anticancer properties and are poorly soluble:10-HCPT, SN-38, and amonafide.

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Objective: To develop and assess an evidence-based, individualized Cyclic Vomiting Syndrome Action Plan (CVSAP) to optimize both preventative and acute care.

Study Design: This implementation science project synthesized a combination of clinical practice guidelines, published literature, and clinical experience by a team of CVS clinicians to develop the CVSAP. The tool was developed to include validated pictograms and an automatic, embedded, weight-based dosing calculator to output acute management recommendations.

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Women and minorities are underrepresented in leadership positions in academic specialties. We investigated representation of women and minorities in selected leadership positions and in fellowships in North American academic pediatric gastroenterology programs (PGP) via voluntary surveys. We also assessed for factors influencing diversity.

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Nocardia infection is rare and requires early diagnosis, extended use of sulfonamides for good prognosis, and prevention of recurrence. It is crucial to suspect nocardiosis in cases of atypical pneumonias or unexplained visceral organ dysfunction.

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