Publications by authors named "Sinha J"

Castleman disease (CD) is a rare lymphoproliferative disorder encompassing a spectrum of conditions with distinct histopathological findings and varied clinical presentations. Diagnostic challenges are often encountered due to overlapping features with other malignancies, infections, and autoimmune disorders. Idiopathic multicentric Castleman disease (iMCD) is a subtype of CD, characterized by generalized lymphadenopathy, polyclonal lymphoproliferation, systemic inflammation, and a cytokine storm that can be life-threatening.

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Bearings are pivotal components of rotating machines where any defects could propagate and trigger systematic failures. Once faults are detected, accurately predicting remaining useful life (RUL) is essential for optimizing predictive maintenance. Although data-driven methods demonstrate promising performance in direct RUL prediction, their robustness and practicability need further improvement regarding physical interpretation and uncertainty quantification.

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Background: Sleep and immune function are interconnected aspects of health that mutually impact each other in disease development and inflammatory homeostasis. Different aspects of immunology are regulated by different sleep characteristics, impacting on specific aspects of immune function including cytokine production and T-cell activity. Ongoing disruptions of sleep have been linked to heightened inflammation and are suspected in the pathogenesis and disease course of a range of life-style-related illnesses, including diabetes and neurodegenerative diseases.

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Alzheimer's disease (AD) is a progressive neurological disorder characterized by memory loss, cognitive decline, and behavioral changes. Immunotherapy aims to harness the immune system to target the underlying pathology of AD and has shown promise as a disease-modifying treatment for AD. By focusing on the underlying disease pathogenesis and encouraging the removal of abnormal protein aggregates in the brain, immunotherapy shows promise as a potential treatment for AD.

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  • The study evaluated the safety and effectiveness of percutaneous endobiliary radiofrequency ablation (EB-RFA) for treating stubborn benign biliary strictures in 15 patients who had unsuccessful traditional treatments.
  • Results showed a 100% technical success rate and an 87% clinical success rate after a median follow-up of 17 months, indicating significant improvement in patients’ conditions.
  • The findings suggest that EB-RFA is a promising option for these strictures, though more extensive studies are needed for more conclusive evidence.
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  • Histone H3.3 is often mutated in tumors, particularly the K36M mutation, which is commonly found in chondroblastomas, affecting the way genes are expressed.
  • The study investigates how the H3.3K36M mutation influences gene silencing and epigenetic memory by using a synthetic reporter system and analyzing changes in histone modifications.
  • Findings suggest that the K36M mutation reduces epigenetic memory and alters methylation patterns, highlighting the importance of the H3K36 methylation pathway in maintaining stable epigenetic memory, which could inform future cancer research and therapeutic approaches.
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Hydrogels are often synthesized through photoinitiated step-, chain-, and mixed-mode polymerizations, generating diverse network topologies and resultant material properties that depend on the underlying network connectivity. While many photocrosslinking reactions are available, few afford controllable connectivity of the hydrogel network. Herein, a versatile photochemical strategy is introduced for tuning the structure of poly(ethylene glycol) (PEG) hydrogels using macromolecular monomers functionalized with maleimide and styrene moieties.

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Repurposing drugs (DR) has become a viable approach to hasten the search for cures for neurodegenerative diseases (NDs). This review examines different off-target and on-target drug discovery techniques and how they might be used to find possible treatments for non-diagnostic depressions. Off-target strategies look at the known or unknown side effects of currently approved drugs for repositioning, whereas on-target strategies connect disease pathways to targets that can be treated with drugs.

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Background And Objective: Valproic acid (VPA) demonstrates nonlinear pharmacokinetics (PK) due to a capacity-limited protein binding, which has potential implications on its total and unbound plasma concentrations, especially during hypoalbuminemia. A physiologically based pharmacokinetic (PBPK) model was developed to assess the nonlinear dose-exposure relationship of VPA with special emphasis on pediatric patients with hypoalbuminemia.

Methods: A PBPK model was first developed and evaluated in adults using PK-Sim and MoBi (v.

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Mitochondria are central to cellular energy production, and their dysfunction is a major contributor to oxidative stress and chronic inflammation, pivotal factors in aging, and related diseases. With aging, mitochondrial efficiency declines, leading to an increase in ROS and persistent inflammatory responses. Therapeutic interventions targeting mitochondrial health show promise in mitigating these detrimental effects.

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Diabetic encephalopathy (DE), a significant micro-complication of diabetes, manifests as neurochemical, structural, behavioral, and cognitive alterations. This condition is especially dangerous for the elderly because aging raises the risk of neurodegenerative disorders and cognitive impairment, both of which can be made worse by diabetes. Despite its severity, diagnosis of this disease is challenging, and there is a paucity of information on its pathogenesis.

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  • Cancer is a complex disease that presents ongoing challenges for medical treatment, especially brain cancers due to the central nervous system's unique structure and the blood-brain barrier.
  • The rise of precision medicine has led to a combination of neurology, oncology, and advanced technology, highlighting the potential of targeted cancer therapies.
  • Bioinspired microrobots are introduced as a novel method for drug delivery, enhancing precision in cancer treatment and representing a significant step forward in the fight against brain tumors.
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  • - Alzheimer's Disease (AD) is a serious neurodegenerative condition with significant effects on patients and healthcare systems, making early diagnosis and intervention crucial for better management.
  • - Animal models have been essential for studying the genetic factors and mechanisms of AD, alongside advancing therapeutic strategies targeting amyloid beta (Aβ) and tau pathology.
  • - Innovative technologies like RNA sequencing and new animal models are paving the way for early detection and more effective treatments, with ongoing research focusing on tackling multiple disease pathways simultaneously despite existing challenges.
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Background And Objective: Pediatric dosing of enoxaparin was derived based on extrapolation of the adult therapeutic range to children. However, a large fraction of children do not achieve therapeutic anticoagulation with initial dosing. We aim to use real-world anti-Xa data obtained from children receiving enoxaparin per standard of care to characterize the population pharmacokinetics (PopPK).

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  • A significant increase in nonaccredited advanced endoscopy fellowship programs (AEFPs) has led to a need for defining "high-quality" standards due to the rising complexity of interventional endoscopy procedures.
  • A consensus process, using the RAND UCLA appropriateness method, was employed to establish quality indicators for AEFPs across six categories related to training and practice.
  • After thorough reviews and expert feedback, 37 out of 89 proposed quality indicators were identified as appropriate, setting a foundation for improved accreditation standards in AEFPs.
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This editorial discusses the difficulties encountered in the management of cancer among the geriatric population. Although cancer research has made substantial advancements, treatments frequently fail to consider the long-lasting consequences and adverse effects on elderly people. We advocate for enhanced geriatric oncology care, embodying enhanced evaluation techniques, the incorporation of complementary therapies, and the utilisation of wearable technologies for remote surveillance.

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Lymphatic filariasis is endemic in a few states of India and is one of the most common public health concerns. () is the most common parasite that causes lymphatic filariasis in India. Microfilariae have been commonly found in the peripheral blood and body fluid, as well as demonstrated in fine needle aspirates (FNA) and bronchial cytology.

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Background: Levetiracetam is an antiseizure medication used for several seizure types in adults and children aged 1 month and older; however, due to a lack of data, pharmacokinetic (PK) variability of levetiracetam is not adequately characterized in certain populations, particularly neonates, children younger than 2 years of age, and children older than 2 years of age with obesity.

Objective: This study aimed to address the gap by leveraging PK data from two prospective standard-of-care pediatric trials (n = 88) covering an age range from 1 month to 19 years, including those with obesity (64%), and applying a physiologically based PK (PBPK) modeling framework.

Methods: A published PBPK model of levetiracetam for children aged 2 years and older was extended to pediatric patients younger than 2 years of age and patients older than 2 years of age with obesity by accounting for the obesity and age-related changes in PK using PK-Sim software.

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  • This study evaluates pain management after total abdominal hysterectomy using dexamethasone and dexmedetomidine alongside levobupivacaine in transversus abdominis plane blocks.
  • Patients were divided into two groups, receiving either dexamethasone or dexmedetomidine, and their pain levels, along with tramadol usage and satisfaction, were assessed.
  • Results showed that the dexmedetomidine group experienced lower pain scores and lesser need for additional pain medication, indicating it may be a more effective option for postoperative pain relief.
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  • Alzheimer's disease (AD) is linked to insulin signaling dysfunction, which has been discovered to play a significant role in neuron survival and cognitive function, challenging earlier assumptions about insulin's relevance in the brain.
  • Key molecules like GSK-3β, Akt, PI3K, and IRS are involved in insulin signaling, and their irregularities can lead to insulin resistance, which may contribute to the development of AD alongside oxidative stress and neuroinflammation.
  • Innovative drug delivery methods, such as oral insulin, nanoparticles, and intranasal administration, are being explored to specifically target insulin signaling as a potential treatment for AD, highlighting possible therapeutic advancements.
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The eukaryotic cytoskeleton is a complex scaffold consisting of actin filaments, intermediate filaments, and microtubules. Although fungi and plants lack intermediate filaments, their dynamic structural network of actin filaments and microtubules regulates cell shape, division, polarity, and vesicular trafficking. However, the specialized functions of the cytoskeleton during plant-fungus interactions remain elusive.

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