Publications by authors named "Vara A"

This research investigates boronated tryptophans as potential boron delivery agents for boron neutron capture therapy (BNCT) of cancer. We synthesized both enantiomers of 5- and 6-boronotryptophans ( and ) using simple and inexpensive methods. Their uptake was assessed in two human cancer cell lines, CAL27 (head and neck cancer) and U87-MG (brain cancer), and compared to l--boronophenylalanine (l-BPA) as a reference.

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  • Autologous haematopoietic stem cell transplantation (AHSCT) is a treatment for Crohn's disease that can be tough because of side effects from chemotherapy.
  • In this study, 14 patients had a new approach that didn’t use cyclophosphamide (Cy), and they were given a different medication to help their bodies prepare for the transplant.
  • The results showed that the treatment was safe, most patients did well after the transplant, but some had to go back on Crohn's disease medicine later on.
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Aims And Method: We aimed to explore experiences of workplace violence in a New Zealand sample of psychiatric trainees and to identify barriers to achieving safe practice and ways of enhancing workplace safety. In a qualitative study, we used interpretive description to inform and design in-depth exploration of participants' experiences. We interviewed 12 psychiatric trainees.

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Breast feeding is the mainspring of child survival, nutrition, development and maternal health. Early initiation of breastfeeding is an extremely important factor associated with the maintenance of long-term breastfeeding practice. Breastfeeding practices can be influenced by a variety of variables such as parity, mode of delivery; body mass index (BMI), breast or nipple abnormalities and behavioural factors are equally as important.

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Introduction: The opinion of students is of utmost importance to identify areas of improvement in undergraduate studies. Medical schools would use this information to plan actions to ensure that the students achieve the necessary medical knowledge. The aim of this study was to analyse the opinion of medical students about their learning process and to analyse the influence of their experience according to their year of medical degree.

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Background And Objectives: Combination therapy with an immunomodulator (IMM) and an anti-TNF is commonly recommended in Crohn's disease (CD) and ulcerative colitis (UC) patients. However, little is known about relapse rates after therapeutic de-escalation. This study aimed to evaluate the risk of relapse in a cohort of UC and CD patients with long-standing clinical remission after discontinuation of IMM or anti-TNF and to identify predictive factors for relapse.

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  • More people with dementia live in low- and middle-income countries (LMICs), but most care recommendations come from high-income countries, leading to a research gap.
  • A systematic analysis of 340 randomized controlled trials (RCTs) related to dementia interventions in LMICs was conducted, focusing on studies published from 2008 to 2018, with the majority of studies stemming from China.
  • Most interventions were in the form of Traditional Chinese Medicine, Western pharmaceuticals, and supplements, but a significant number of studies had a high risk of bias, indicating that more diverse and rigorous research is necessary in underrepresented LMICs.
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Copy number variants (CNVs) are a common finding in the clinical setting and contribute to both genetic variation and disease. Studies have described the accumulation of multiple CNVs as a disease-modifying mechanism. While it has been described how additional CNVs may play a role in phenotype, in which ways and to what extent sex chromosomes are involved in dual CNV scenario has not been fully defined.

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Background: To assess the role of latissimus dorsi tendon transfer (LDT) concomitant with reverse total shoulder arthroplasty in patients with external rotation (ER) deficit secondary to severe rotator cuff deficiency with and without glenohumeral arthritis.

Methods: Patients with a positive external lag sign and <10° of active external rotation (aER) treated with reverse shoulder arthroplasty at a single institution with a minimum 12-month follow-up were retrospectively identified from a prospective database. Basic demographic information along with preoperative and postoperative range of motion (ROM) measures, American Shoulder and Elbow Surgeons score (ASES), Visual Analog Scale (VAS) pain, and Subjective Shoulder Value scores were obtained.

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Byssinosis is a disabling occupational lung disease caused by cotton dust. It is a well-known occupational respiratory disease in cotton industry workers caused by cotton dust pollution. Many studies have been documented the effects of cotton dust on pulmonary function among workers employed in cotton-spinning mills.

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Objective: To report the development and feedback on a newly created mindfulness-based cognitive therapy (MBCT) informed virtual wellbeing programme for psychiatry trainees.

Methods: Thirteen of the 14 trainees participated in the programme provided feedback via an online questionnaire. Qualitative data was analysed using thematic analysis.

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  • * RNA sequencing on Jurkat T cells revealed that CD69-oxLDL interactions lead to the expression of anti-inflammatory NR4A receptors and PD-1, indicating their role in modulating immune responses.
  • * In human arteries with chronic inflammation, increased levels of PD-1, CD69, and NR4A3 were observed, suggesting that CD69 may help regulate inflammation and vascular remodeling independently of traditional T cell receptor signaling.
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  • COVID-19 pneumonia is a severe infectious disease that poses a significant risk, particularly to older patients with existing health issues, and the mechanisms behind it are still not fully understood.
  • The study compared the profiles of specific miRNAs and cytokines in patients with COVID-19 and those with other forms of pneumonia, leading to the identification of 15 miRNAs that are altered in COVID-19.
  • A subgroup of four specific miRNAs was found to effectively distinguish between COVID-19 and other pneumonia cases, while certain cytokine levels also differed significantly between mild and severe COVID-19 patients, contributing to a better understanding of the disease's underlying mechanisms.
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  • The interaction between T cells, dendritic cells, and keratinocytes is essential for inflammation in psoriasis, with GADD45 proteins playing a key role in DNA repair and immune regulation.
  • A study of 30 psoriasis patients showed lower GADD45a levels in the epidermis but higher in T cells in affected skin, alongside increased GADD45a and GADD45b expression in peripheral T cells compared to controls.
  • The research also found that hypermethylation of the UCHL1 promoter in lesional skin correlated with reduced GADD45a expression, suggesting that GADD45a's demethylase activity may influence its diverse effects in psoriasis.
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  • Spontaneous Coronary Artery Dissection (SCAD) is a key cause of heart issues in younger women, making it crucial to differentiate it from coronary atherothrombosis during diagnosis.
  • A study used plasma samples from patients with SCAD and atherothrombotic acute myocardial infarction (AT-AMI) to analyze specific miRNAs and other biomarkers, finding that certain miRNAs can distinguish between these two conditions effectively.
  • The discovery highlights four miRNAs (miR-let-7f-5p, miR-146a-5p, miR-151a-3p, and miR-223-5p) that serve as a potential diagnostic tool for SCAD while also suggesting related
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Clozapine is a uniquely effective antipsychotic indicated for treatment-resistant schizophrenia. However, its use is underutilised and often delayed for years due to potential adverse reactions including myocarditis and cardiomyopathy. The purpose of this study was to conduct a retrospective review of the clinical records of patients initiating clozapine in the Auckland District Health Board (ADHB) region to determine the incidence of clozapine-associated myocarditis and cardiomyopathy and to identify potential risk factors associated with these cardiotoxicities.

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Orthopedic implants requiring osseointegration are often surface modified; however, implants may shed these coatings and generate wear debris leading to complications. Titanium nanotubes (TiNT), a new surface treatment, may promote osseointegration. In this study, in vitro (rat marrow-derived bone marrow cell attachment and morphology) and in vivo (rat model of intramedullary fixation) experiments characterized local and systemic responses of two TiNT surface morphologies, aligned and trabecular, via animal and remote organ weight, metal ion, hematologic, and nondecalcified histologic analyses.

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Hispanic patients with primary biliary cholangitis (PBC) have reduced rates of biochemical response to ursodeoxycholic acid (UDCA) and increased risk of disease progression compared to non-Hispanic patients. In this study, we sought to identify differences in demographics, comorbidities, environmental risk factors and socioeconomic status between Hispanic and non-Hispanic patients with PBC. In a case control study, we analyzed data from Hispanic (=37 females and 1 male) and non-Hispanic (=54 females and 4 males) patients with PBC seen at the University of Miami/Jackson Memorial Hospital from January 1998 through January 2013.

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Red raspberries ( L.) are increasingly popular foods in contemporary diets due to their freshness, nutritional value and health claims. Among the existing cultivars, "Kweli" is one of the most productive and widely cultivated.

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Loeys-Dietz syndrome (LDS), a connective tissue disorder characterized by its vascular, skeletal, craniofacial, and cutaneous manifestations is caused by mutations in one of six genes (TGFBR1, TGFBR2, SMAD2, SMAD3, TGFB2, and TGFB3). Until recently, all reported cases of LDS have been attributed to heterozygous pathogenic variants in these genes. Here, we report the first case of Loeys-Dietz syndrome due to SMAD3 biallelic likely pathogenic variants in a 15-year-old male with classic Loeys-Dietz features, including dysmorphic facial features, significant scoliosis, and pectus excavatum, arachnodactyly, severe aortic root dilation, and diffuse arterial tortuosity.

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miRNAs have been associated with psoriasis since just over a decade. However, we are far from a complete understanding of their role during the development of this disease. Our objective was to characterize the cutaneous expression of miRNAs not previously described in psoriasis, the changes induced following the treatment with biologicals and their association with disease improvement.

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Background: Assessing decision-making capacity to health care is within the scope of practice for all doctors, yet the experience of GPs in this area is unknown.

Objective: To explore the experiences, perspectives, approaches and challenges for GPs in New Zealand when conducting decision-making capacity assessments.

Methods: Qualitative study design comprising individual in-depth semi-structured interviews conducted with a convenience sample of GPs.

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Children and people with intellectual disability (ID) are considered to be highly vulnerable and in need of special protection against sexual abuse (SA). The objective of this work was to analyze the characteristics of cases of SA in children with typical development and in people with ID in Spain. To do so, 25 cases of each type that had been investigated by specialized groups of the Judicial Police of the Spanish Civil Guard and that had been classified as proven and confirmed by police and forensic-medical evidence were analyzed.

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As total joint replacements increase annually, new strategies to attain solid bone-implant fixation are needed to increase implant survivorship. This study evaluated two morphologies of titania nanotubes (TiNT) in in vitro experiments and an in vivo rodent model of intramedullary fixation, to simulate joint arthroplasty conditions. TiNT surfaces were prepared via an electrochemical etching process, resulting in two different TiNT morphologies, an aligned structure with nanotubes in parallel and a trabecular bone-like structure.

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