Publications by authors named "Senanayake R"

Prediction of organismal viability upon exposure to a nanoparticle in varying environments─as fully specified at the molecular scale─has emerged as a useful figure of merit in the design of engineered nanoparticles. We build on our earlier finding that a bag of artificial neural networks (ANNs) can provide such a prediction when such machines are trained with a relatively small data set (with ca. 200 examples).

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Article Synopsis
  • Researchers created a machine learning model to predict the risk of significant hypoglycemia (low blood sugar) in type 1 diabetes patients within a week, using their continuous glucose monitoring (CGM) data.
  • The model was validated using data from three different patient groups and showed solid performance, with average ROC-AUC scores ranging from 0.74 to 0.77, indicating its effectiveness in risk prediction.
  • This predictive tool can help diabetes care providers focus on patients who may need immediate attention, improving remote patient monitoring efforts.
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Seed-mediated synthesis strategies, in which small gold nanoparticle precursors are added to a growth solution to initiate heterogeneous nucleation, are among the most prevalent, simple, and productive methodologies for generating well-defined colloidal anisotropic nanostructures. However, the size, structure, and chemical properties of the seeds remain poorly understood, which partially explains the lack of mechanistic understanding of many particle growth reactions. Here, we identify the majority component in the seed solution as an atomically precise gold nanocluster, consisting of a 32-atom Au core with 8 halide ligands and 12 neutral ligands constituting a bound ion pair between a halide and the cationic surfactant: AuX[AQA•X] (X = Cl, Br; AQA = alkyl quaternary ammonium).

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Algorithm-enabled patient prioritization and remote patient monitoring (RPM) have been used to improve clinical workflows at Stanford and have been associated with improved glucose time-in-range in newly diagnosed youth with type 1 diabetes (T1D). This novel algorithm-enabled care model currently integrates continuous glucose monitoring (CGM) data to prioritize patients for weekly reviews by the clinical diabetes team. The use of additional data may help clinical teams make more informed decisions around T1D management.

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Article Synopsis
  • Primary aldosteronism (PA) is a condition that can cause high blood pressure, often linked to a growth in the adrenal gland, and surgery can help fix it.
  • A study compared a safer, non-invasive test called MTO scanning with a more invasive test called AVS to see which one does a better job at predicting successful surgery outcomes for people with PA.
  • The results showed that the MTO scanning was just as good at predicting success as the invasive test, making it a useful option for diagnosing PA without the need for surgery first.
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Carbon dots (CDs) have attracted great attention in a range of applications due to their bright photoluminescence, high photostability, and good biocompatibility. However, it is challenging to design CDs with specific emission properties because the syntheses involve many parameters, and it is not clear how each parameter influences the CD properties. To help bridge this gap, machine learning, specifically an artificial neural network, is employed in this work to characterize the impact of synthesis parameters on and make predictions for the emission color and wavelength for CDs.

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Purpose: To assess the feasibility of delivering microwave ablation for targeted treatment of aldosterone producing adenomas using image-based computational models.

Methods: We curated an anonymized dataset of diagnostic C-metomidate PET/CT images of 14 patients with aldosterone producing adenomas (APA). A semi-automated approach was developed to segment the APA, adrenal gland, and adjacent organs within 2 cm of the APA boundary.

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Purpose: To assess the potential for C-methionine PET (Met-PET) coregistered with volumetric magnetic resonance imaging (Met-PET/MR) to inform clinical decision making in patients with poorly visualized or occult microprolactinomas and dopamine agonist intolerance or resistance.

Patients And Methods: Thirteen patients with pituitary microprolactinomas, and who were intolerant (n = 11) or resistant (n = 2) to dopamine agonist therapy, were referred to our specialist pituitary centre for Met-PET/MR between 2016 and 2020. All patients had persistent hyperprolactinemia and were being considered for surgical intervention, but standard clinical MRI had shown either no visible adenoma or equivocal appearances.

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Background: Pituitary adenomas (PA) affect ~ 1:1200 of the population and can cause a wide range of symptoms due to hormone over-secretion, loss of normal pituitary gland function and/or compression of visual pathways, resulting in significantly impaired quality of life. Surgery is potentially curative if the location of the adenoma can be determined. However, standard structural (anatomical) imaging, in the form of MRI, is unable to locate all tumors, especially microadenomas (< 1 cm diameter).

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Hyponatraemia is the most common electrolyte abnormality encountered in the inpatient setting and is associated with increased morbidity, mortality, and length of hospital stay. Syndrome of inappropriate anti-diuresis (SIAD) remains the most common cause. Hyponatraemia due to SIAD presents various challenges in treatment approaches, including poor concordance (e.

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Background: Pituitary adenomas can give rise to a variety of clinical disorders and surgery is often the primary treatment option. However, preoperative magnetic resonance imaging (MRI) does not always reliably identify the site of an adenoma. In this setting molecular (functional) imaging (e.

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Most aldosterone-producing adenomas (APAs) have gain-of-function somatic mutations of ion channels or transporters. However, their frequency in aldosterone-producing cell clusters of normal adrenal gland suggests a requirement for codriver mutations in APAs. Here we identified gain-of-function mutations in both CTNNB1 and GNA11 by whole-exome sequencing of 3/41 APAs.

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Evaluation of the electron-nuclear dynamics and relaxation mechanisms of gold and silver nanoclusters and their alloys is important for future photocatalytic, light harvesting, and photoluminescence applications of these systems. In this work, the effect of silver doping on the nonradiative excited state relaxation dynamics of the atomically precise thiolate-protected gold nanocluster [AuAg(SH)] (n = 1, 12, 25) is studied theoretically. Time-dependent density functional theory is used to study excited states lying in the energy range 0.

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In most patients with suspected or confirmed pituitary adenomas (PAs), MRI, performed using T1- (with or without gadolinium enhancement) and T2-weighted sequences, provides sufficient information to guide effective clinical decision making. In other patients, additional MR sequences (e.g.

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The management of endogenous Cushing's syndrome (CS) typically involves two key steps: (i) confirmation of autonomous hypercortisolism and (ii) localization of the cause to guide treatment. Adrenocorticotropic hormone (ACTH)-dependent CS is most commonly due to a pituitary corticotrope tumor which may be so small as to evade detection on conventional magnetic resonance imaging (MRI). Although biochemical testing (e.

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Most research on cognition behind religious belief assumes that understanding of other minds is culturally uniform and follows the Western model of mind, which posits that (a) others' thoughts can be known and (b) action is best explained by mental state inference. This is potentially problematic if, as a growing body of evidence suggests, other populations view minds differently. We recruit Indigenous iTaukei Fijians who hold (a) a model of mind that discourages mental state inference and (b) co-existing Christian (Western) and traditional supernatural agent beliefs.

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In most patients with pituitary adenomas magnetic resonance imaging (MRI) is essential to guide effective decision-making. T1- and T2-weighted sequences allow the majority of adenomas to be readily identified. Supplementary MR sequences (e.

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Objective: The object of this study was to determine if revision transsphenoidal surgery (TSS), guided by 11C-methionine PET/CT coregistered with volumetric MRI (Met-PET/MRCR), can lead to remission in patients with persistent acromegaly due to a postoperative lateral disease remnant.

Methods: The authors identified 9 patients with persistent acromegaly following primary intervention (TSS ± medical therapy ± radiotherapy) in whom further surgery had initially been discounted because of equivocal MRI findings with suspected lateral sellar and/or parasellar disease (cases with clear Knosp grade 4 disease were excluded). All patients underwent Met-PET/MRCR.

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We investigate the excited electron dynamics in [Au(SR)] (R = CH, CH, CH, MPA, PET) [MPA = mercaptopropanoic acid, PET = phenylethylthiol] nanoparticles to understand how different ligands affect the excited state dynamics in this system. The population dynamics of the core and higher excited states lying in the energy range 0.00-2.

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Experimental findings of Au(GSH) as a photosensitizer with the highest potential compared to other glutathione-protected clusters demand understanding the photophysics and relaxation dynamics of the Au(SR) cluster. To this end, we perform ab initio real-time nonadiabatic molecular dynamics simulations on Au(SH) to investigate its relaxation dynamics compared to the well-studied [Au(SR)] relaxation dynamics. In this work, the excitations covering up to ∼2.

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Decision-making in pituitary disease is critically dependent on high quality imaging of the sella and parasellar region. Magnetic resonance imaging (MRI) is the investigation of choice and, for the majority of patients, combined T1 and T2 weighted sequences provide the information required to allow surgery, radiotherapy (RT) and/or medical therapy to be planned and long-term outcomes to be monitored. However, in some cases standard clinical MR sequences are indeterminate and additional information is needed to help inform the choice of therapy for a pituitary adenoma (PA).

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A diphosphine-protected 18-gold-atom nanocluster was isolated via a facile reduction of an AuI precursor by NaBH4. Its composition was identified as {[Au18(dppm)6Cl4]·C6H6·3Cl·PF6} (SD/Au18, SD = SunDi; dppm = bis-(diphenylphosphino)methane) by X-ray single crystal structural analysis. This nanocluster possesses a prolate shape and is built from an Au10 kernel (bi-octahedral Au6 units sharing one edge) fused with two Au7 caps via sharing six gold atoms.

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Objective: To describe clinical practice experience of C-Metomidate PET/CT as an adjunct to adrenal vein sampling (AVS) in the lateralization of aldosterone-producing adenomas (APA) in primary aldosteronism (PA).

Context: Accurate lateralization of APA in the setting of PA offers the potential for surgical cure and improved long-term cardiovascular outcomes. Challenges associated with AVS, the current gold standard lateralization modality, mean that only a small proportion of potentially eligible patients currently make it through to surgery.

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Due to distinctive quantum confinement effects, ultrasmall gold nanoparticles usually exhibit interesting electronic structure and molecular-like properties. However, the lack of atomically-precise structural information makes the understanding of them almost impossible, such as understanding the relationships between their compositions and unique properties. Herein, by reducing a diphosphine Au precursor (Au(dppm)Cl; dppm = PhPCHPPh) with or without a S releasing reagent, we enriched our knowledge of the members in the families of Au and Au by the structural determinations of two new dppm-protected gold nanoclusters, [Au(dppm)] () and [Au(dppm)S] (), respectively.

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Yam ( spp.) is a tuber crop grown for food security, income generation, and traditional medicine. This crop has a high cultural value for some of the groups growing it.

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