Publications by authors named "Vijayan A"

Hydroxyapatite (HA), the main inorganic bone component, is the most widely researched bioceramic for bone repair. This paper presents a comprehensive review of recent advancements in HA synthesis methods and their integration into additive manufacturing (AM) processes. Synthesis methodologies discussed include wet, dry, and biomimetic routes, emphasizing their impact on tailoring the physicochemical properties of HA for biomedical applications.

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  • High-dose methotrexate (MTX) can lead to serious complications like acute kidney injury (AKI), neutropenia, and liver damage, but glucarpidase, an enzyme that breaks down MTX, shows potential benefits.
  • In a study of 708 patients with MTX-AKI across 28 cancer centers, those receiving glucarpidase had a significantly higher chance of kidney recovery and faster recovery times compared to those who did not receive the treatment.
  • Additionally, glucarpidase treatment was associated with lower rates of severe neutropenia and liver enzyme elevation, but there was no notable difference in mortality rates between the two groups.
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This study investigated major contributors of the particulate organic matter (POM) using stable isotope ratios of particulate organic carbon (δC) and its relationship with phytoplankton composition during three seasons across six coast-offshore transects in the eastern Arabian Sea (EAS). Results revealed significant spatiotemporal variations, with elevated δC in coastal waters during the winter and summer monsoon (-22.40 ± 1.

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Newly approved subunit and mRNA vaccines for respiratory syncytial virus (RSV) demonstrate effectiveness in preventing severe disease, with protection exceeding 80% primarily through the generation of antibodies. An alternative vaccine platform called self-amplifying RNA (saRNA) holds promise in eliciting humoral and cellular immune responses. We evaluate the immunogenicity of a lipid nanoparticle (LNP)-formulated saRNA vaccine called SMARRT.

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Chronic kidney disease is globally recognized as a highly impactful non-communicable disease. The inability of early identification contributes to its high mortality rate and financial burden on affected individuals. Chronic kidney disease of uncertain etiology (CKDu) constitutes a significant global public health concern.

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Micro/nanoplastics are widespread in terrestrial ecosystem. Even though many studies have been reported on the effects of these in marine environment, studies concerning their accumulation and impact on terrestrial ecosystem have been scanty. The current study was designed to determine how terrestrial plants, especially legumes, interact with micro/nanoplastics to gain insights into their uptake and translocation.

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We present a new set of computational tools that enable accurate and widely applicable 3D segmentation of nuclei in various 3D digital organs. We have developed an approach for ground truth generation and iterative training of 3D nuclear segmentation models, which we applied to popular CellPose, PlantSeg and StarDist algorithms. We provide two high-quality models trained on plant nuclei that enable 3D segmentation of nuclei in datasets obtained from fixed or live samples, acquired from different plant and animal tissues, and stained with various nuclear stains or fluorescent protein-based nuclear reporters.

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Background: Coronary artery disease (CAD) has been linked to single nucleotide polymorphism (SNP) in superoxide dismutase 2 (SOD 2) gene. Additionally, several modifiable risk factors are also known to influence the CAD risk.

Aim: To investigate the association between selected modifiable risk factors and oxidative stress markers with the SOD2 rs4880 SNP in CAD patients.

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Background: Invasive coronary angiography (ICA) is the standard for pre-procedural assessment of coronary artery disease (CAD) in patients undergoing transcatheter aortic valve implantation (TAVI). However, it requires hospitalization and can be associated with complications. Computed tomography angiography (CTA) may be a viable alternative to rule out prognostically relevant CAD.

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Background: Dental imaging plays a crucial role in diagnosis and treatment planning, with cone-beam computed tomography (CBCT) and medical computed tomography (CT) being two common modalities. This study aims to compare the radiation doses associated with CBCT and medical CT imaging in dental applications to assess their relative safety and efficacy.

Materials And Methods: We conducted a retrospective study using data from 100 patients who underwent both CBCT and medical CT scans for dental purposes.

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  • - The TIM-HF2 study showed that remote patient management (RPM) significantly reduces the number of days lost due to hospital admissions or death in heart failure (HF) patients, particularly those with diabetes, with hazard ratios indicating improved outcomes.
  • - In a follow-up analysis including 707 HF patients with diabetes, RPM led to a notable decrease in unplanned cardiovascular hospitalizations and all-cause mortality compared to usual care, along with enhanced quality of life as measured by the Minnesota Living with Heart Failure Questionnaire.
  • - Overall, the findings support implementing RPM for heart failure patients with diabetes to improve health outcomes and quality of life, indicating its effectiveness in a specific high-risk population.
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Background: A substantial proportion of patients undergoing hemodialysis carry in their noses, and carriers are at increased risk of bloodstream infections. Our pragmatic clinical trial implemented nasal povidone-iodine (PVI) decolonization for the prevention of bloodstream infections in the novel setting of hemodialysis units.

Objective: We aimed to identify pragmatic strategies for implementing PVI decolonization among patients in outpatient hemodialysis units.

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This work is devoted to magnesium oxide (MgO) nanoparticles (NPs) for their use as additives for bone implants. Extracts from four different widely used plants, including , , , and , were evaluated for their ability to facilitate the "green synthesis" of MgO nanoparticles. The thermal stability and decomposition behavior of the MgONPs were analyzed by thermogravimetric analysis (TGA).

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  • Peptide receptor radionuclide therapy (PRRT) is effective for treating neuroendocrine neoplasms and metastatic castration-resistant prostate cancer, but risks to kidney function make it risky for patients with advanced kidney disease, including those on hemodialysis (HD).
  • A literature review of 7 publications included 15 HD patients who received adjusted doses of PRRT (Lutetium-177 and Y-90) without serious immediate or long-term side effects, although data was limited.
  • Based on existing evidence and expert input, an institutional workflow has been established to safely administer dose-adjusted PRRT to patients on HD with appropriate supervision.
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Background: An additional dose of COVID-19 vaccine is being offered to vaccinated people, especially those immunocompromised. The most widely available vaccines in India are the adenoviral vector-based AZD1222 (ChAdOx1 nCoV-19) and the heat-inactivated (BBV152). This study investigated the efficacy of both vaccines in patients with autoimmune rheumatic diseases (AIRD).

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  • * A study tested five spike variants with different stability levels in mice, finding that a highly stable variant (S-closed-2) induced the highest neutralizing antibody response, outperforming less stable proteins by up to 16 times.
  • * However, the most stable variant (S-locked), which prevented the spike from interacting flexibly, produced lower antibody levels against diverse strains, suggesting that further research is needed on spike protein designs to improve vaccine effectiveness.
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A literature search on traffic related metals in polluted urban snow revealed a significant volume of references representing a substantive knowledge base. The frequently studied metals in urban snow included Zn, Cu, Pb, Cd and Ni. However, comparing metal concentrations across studies proves to be a complex effort due to the variations in site-specific factors among studies, such as traffic intensity, pavement conditions, hydrometeorological conditions, and research method aspects, such as sampling equipment and frequency, and laboratory analytical methods.

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Analyzing multi-fluorophoric real systems without pre-processing is challenging, often addressed with unconventional fluorescence techniques and chemometrics. In this context, we introduce a novel addition - 'Angular Sweep Total Fluorescence Spectroscopy (ASTFS),' to the arsenal of multidimensional steady-state fluorescence spectroscopic techniques. ASTFS utilizes a series of variable angle synchronous fluorescence spectra, strategically covering the fluorescence region between the first and second-order Rayleigh scattering ridges.

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Evolving individual, contextual, organizational, interactional and sociocultural factors have complicated efforts to shape the professional identity formation (PIF) of medical students or how they feel, act and think as professionals. However, an almost exclusive reliance on online learning during the COVID-19 pandemic offers a unique opportunity to study the elemental structures that shape PIF and the environmental factors nurturing it. We propose two independent Systematic Evidence-Based Approach guided systematic scoping reviews (SSR in SEBA)s to map accounts of online learning environment and netiquette that structure online programs.

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Aim: The aim of the study was to estimate the diagnostic efficacy of high-resolution ultrasonography (USG) in the diagnosis of maxillofacial fractures.

Materials And Methods: A descriptive diagnostic evaluation study was carried out on 30 patients with suspected maxillofacial fractures, out of which 26 were male (86.7%) and 4 were female (13.

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Concentrations of total suspended solids (TSS), trace metals (Cu, Cd, Cr, Zn, Cd, Pb), Na and 16 US EPA priority PAHs in urban snow were studied in the City of Luleå in Northern Sweden. Snow was sampled at six central urban and suburban sites with various traffic intensities, in three sampling surveys (1994-95, 2002-03, 2020-21), repeated for three ages of the urban snow cover of 40, 80, and 120 days, respectively. The older data, from the 1994-95 and 2002-03 surveys, were obtained from the existing literature.

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Background: Patients' stories provide Palliative Care physicians with a glimpse into the former's lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients' stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care.

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poses a significant challenge in healthcare settings across the globe, with isolates exhibiting carbapenem resistance at unprecedented rates. Here, we characterized a collection of isolates (=64) recovered during the period September 2020 - November 2021 at a teaching hospital in Cochin, South India. The species identity of the isolates was confirmed with PCR.

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Background: Up to one third of survivors of AKI that required dialysis (AKI-D) during hospitalization remain dialysis dependent at hospital discharge. Of these, 20%-60%, depending on the clinical setting, eventually recover enough kidney function to stop dialysis, and the remainder progress to ESKD.

Methods: To describe the challenges facing those still receiving dialysis on discharge, the AKINow Committee conducted a group discussion comprising 59 participants, including physicians, advanced practitioners, nurses, pharmacists, and patients.

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