Publications by authors named "Uppal S"

Microbial symbionts associate with multicellular organisms on a continuum from facultative associations to mutual codependency. In the oldest intracellular symbioses there is exclusive vertical symbiont transmission, and co-diversification of symbiotic partners over millions of years. Such symbionts often undergo genome reduction due to low effective population sizes, frequent population bottlenecks, and reduced purifying selection.

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  • - The NCCN Guidelines outline a comprehensive approach to diagnosing, staging, and treating ovarian, fallopian tube, and primary peritoneal cancers.
  • - Recent developments in the use of PARP inhibitors, both as maintenance therapy and standalone treatments, have significantly influenced the recommendations in these guidelines.
  • - These insights highlight the collaborative effort among experts to continuously update treatment protocols based on the latest research in ovarian cancer therapies.
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  • The study focused on analyzing RSV infection risks in children under 24 months in Valladolid from 2010 to 2022, comparing these risks with those of influenza and COVID-19.
  • It involved a retrospective cohort study of 1,507 RSV cases, revealing that hospitalized RSV patients were generally younger and had lower comorbidity rates than those with influenza or COVID-19.
  • Key findings indicated that factors like prematurity, maternal smoking, and coinfection increased the risk of severe RSV outcomes, while breastfeeding and complete vaccination were protective against hospitalization and severity.
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Introduction: Since mandibular third molars are frequently impacted, third molar extractions are among the most common procedures performed by oral surgeons (35.9-58.7% of all surgical procedures).

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Introduction: The COVID-19 pandemic led to a sudden halt in the academic activities of many medical professionals including burns and plastic surgery. Worldwide, this led to many societies switching over to various virtual platforms like Google Meet and Zoom for teaching and training. In India, as the other plastic surgery societies started their educational webinars, the National Academy of Burns India (NABI) also geared up for its web journey for imparting burn education to doctors and the general population.

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  • * In cases where surgery isn't possible, a radiation dose of 60-70 Gy, sometimes combined with chemotherapy, is recommended as a treatment option, as demonstrated in a case involving online daily adaptive cone beam computed tomography (CBCT) radiotherapy.
  • * The study showed that using online adaptive radiotherapy (o-ART) improved target coverage and reduced damage to surrounding organs at risk (OAR) compared to traditional image-guided techniques, making it a promising approach for creating
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  • * In a seven-year retrospective study, 91 USC patients were analyzed, with nearly half referred for genetic counseling; 56% of these underwent genetic testing.
  • * Findings revealed 12.5% of tested patients had pathogenic variants, and 16.6% had variants of unknown significance, leading to a recommendation for standardizing genetic testing in USC management.
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Objective: To determine the rate of avoidable admissions following anticipated same-day discharge for patients undergoing minimally invasive hysterectomy and to identify risk factors associated with such admissions.

Methods: A retrospective review was performed of patients who underwent a minimally invasive hysterectomy between March 2019 and July 2021 for a suspected gynecologic malignancy at a single tertiary care center. Pre-operatively, patients were assessed for same-day discharge versus planned admission.

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  • A study was conducted to evaluate how patient and procedural factors affect opioid use after vulvar surgery in gynecologic oncology, aiming to create a personalized opioid prescribing guideline.
  • The retrospective analysis included 100 patients, revealing that 35% did not need any opioids post-surgery, while 39% used opioids, and 26% did not use their prescribed opioids.
  • Age significantly influenced opioid usage, and although NSAID contraindications weren’t statistically significant, they were important in developing the final prescribing guidelines.
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  • This review discusses how large databases contribute to gynecologic oncology research, highlighting their advantages and limitations.
  • It covers several key databases, including NCDB, SEER, and HCUP, detailing their data, access, and management features.
  • Understanding these databases aids readers and researchers in interpreting findings, evaluating new studies, and advancing impactful research in the field.
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Introduction: We aimed to describe the risk profile of respiratory syncytial virus (RSV) infections among adults ≥ 60 years in Valladolid from January 2010 to August 2022, and to compare them with influenza and COVID-19 controls.

Methods: This was a retrospective cohort study of all laboratory-confirmed RSV infections identified in centralized microbiology database during a 12-year period. We analyzed risk factors for RSV hospitalization and severity (length of stay, intensive care unit admission, in-hospital death or readmission < 30 days) and compared severity between RSV patients vs.

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  • Microbial symbionts can form various types of relationships with multicellular organisms, ranging from optional partnerships to essential dependencies, with some examples showing long-term evolution and genome changes over millions of years.
  • In a study of Lagriinae beetles, researchers identified multiple occurrences of defensive symbionts that produce the antifungal compound lagriamide, despite no evidence of co-evolution or shared ancestry among them.
  • The findings suggest these symbionts independently evolved and lost parts of their genomes while specializing in producing lagriamide, which is crucial for protecting the beetles’ eggs and larvae from harmful fungi.
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Background: Respiratory syncytial virus (RSV) is a leading cause of acute respiratory illness (ARI) in older adults. Optimizing diagnosis could improve understanding of RSV burden.

Methods: We enrolled adults ≥50 years of age hospitalized with ARI and adults of any age hospitalized with congestive heart failure or chronic obstructive pulmonary disease exacerbations at 2 hospitals during 2 respiratory seasons (2018-2020).

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Internal carotid artery hypoplasia is a rare vascular anomaly that can lead to various neurological symptoms due to altered cerebral blood flow. We present a case of a 36 years old female who presented to us with forgetfulness and right sided weakness. She was ultimately diagnosed with bilateral internal carotid artery hypoplasia through imaging studies.

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The study aimed to compare and correlate serum levels of IL-6, 10, and 25-hydroxycholecalciferol in individuals with asthma with and without post-COVID condition (PCC). The study was designed to investigate the inflammatory response and serum 25-hydroxycholecalciferol status in asthmatics with and without PCC. A cross-sectional study of 252 subjects (128 asthmatics and 124 non-asthmatic subjects) was carried out.

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Objective: To assess gynecologic oncology patients' experiences with virtual prechemotherapy evaluation and determine preference for incorporating virtual visits into a chemotherapy schedule.

Methods: From June-August 2023, a survey was distributed to patients with gynecologic malignancies who had both an in-person and virtual prechemotherapy visit at a tertiary comprehensive cancer center. Patient satisfaction and preference for incorporating virtual visits was elicited.

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Background: The potential for the technique of small bite fascial closure in mitigating incisional hernias in gynecologic oncology patients still needs to be investigated.

Objective: To evaluate the impact of closure of small fascial bites compared with prior standard closure on incisional hernia rates in gynecologic oncology patients.

Methods: This is a retrospective cohort study comparing patient outcomes before and after the intervention at a single institution at a comprehensive cancer center.

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Background: Oral Potentially Malignant Disorders (OPMDs) refer to a heterogenous group of clinical presentations with heightened rate of malignant transformation. Identification of risk levels in OPMDs is crucial to determine the need for active intervention in high-risk patients and routine follow-up in low-risk ones. Machine learning models has shown tremendous potential in several areas of dentistry that strongly suggest its application to estimate rate of malignant transformation of precancerous lesions.

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Purpose: Neoadjuvant chemotherapy is often administered for high-grade serous ovarian carcinoma (HGSC) prior to cytoreductive surgery. We evaluated treatment response by CT (simplified peritoneal carcinomatosis index [S-PCI]), pathology (chemotherapy response score [CRS]), laboratory markers (serum CA-125), and surgical outcomes, to identify predictors of disease-free survival.

Methods: For this retrospective, HIPAA-compliant, IRB-approved study, we identified 396 women with HGSC receiving neoadjuvant chemotherapy between 2010 and 2019.

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Despite of the global unity against COVID-19 pandemic, the threat of SARS-CoV-2 variants on the lives of human being is still not over. SARS-CoV-2 pandemic has urged the need of rapid viral detection at earliest. To cope with gradually expanding scenario of SARS-CoV-2, accurate diagnosis is extremely crucial factor which should be noticed by international health organizations.

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Background And Objective: Current regulatory labeling recommends avoiding live vaccine use in dupilumab-treated patients. Clinical data are not available to support more specific guidance for live or live attenuated vaccines administration in dupilumab-treated patients.

Methods: Children (6 months-5 years old) with moderate-to-severe atopic dermatitis (AD) enrolled in a phase 2/3 clinical trial of dupilumab (LIBERTY AD PRESCHOOL Part A/B; NCT03346434) and subsequently participated in the LIBERTY AD PED-OLE (NCT02612454).

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  • - Schwannomas are rare tumors in the orbit that can originate from various nerves and are often difficult to diagnose; this case highlights a unilateral orbital schwannoma from the supraorbital nerve in a 55-year-old woman.
  • - The patient presented with a painless mass in the right superior orbit, leading to proptosis but no impairment in visual acuity; initial diagnosis suspected a dermoid cyst, which prompted excision biopsy.
  • - Histopathology confirmed a benign schwannoma, emphasizing the need for early surgical intervention and the importance of including schwannomas in the differential diagnosis for slow-growing orbital masses in adults to avert complications.
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Background: A previous study compared insulin sensitivity indices for the detection of double diabetes (DD) in Indian adolescents with type-1 diabetes (T1D) and derived a cut-off to predict future risk for the development of metabolic syndrome (MS) in adolescents with T1D. We conducted the current study with the aim to validate these cut-offs for detecting DD among Indian subjects with T1D from various geographical locations.

Methods: This multicentric cross-sectional study included 161 Indian adolescents with T1D.

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