Publications by authors named "Vinod Nair"

Introduction: Olecranon fractures account for 5-7% of elbow fractures, making them a common injury. The majority of these fractures are treated surgically because they are intra-articular and can disrupt the elbow extensor mechanism. Mayo Type II fractures are displaced with a stable ulnohumeral joint, indicating intact ligamentous structures, particularly the anterior portion of the medial collateral ligament.

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Purpose: Acrylic dentures fabricated using polymethyl methacrylate are subjected to either intraoral fatigue stress or extraoral impact stress, eventually forming microcracks and fractures. This limitation should be overcome by either modification in the acrylic resin material or in polymerization techniques. This study compares the impact strength and flexural strength of high-impact resin to conventional resin in short- and long-heat polymerization settings.

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Introduction: Tibial plateau fractures, which constitute approximately 1% of all fractures with an incidence of 10.3/100,000 annually, result from varus or valgus forces combined with axial loading in the knee. These fractures display a bimodal distribution, affecting younger individuals through high-velocity trauma and older individuals through low-energy trauma.

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Interstitial pregnancy accounts for only 2%-4% of all ectopic pregnancies, however, it is associated with higher mortality rates as compared to other ectopic pregnancies, due to the associated risk of uterine rupture, and hemorrhage. A 35-year-old gravida 4 abortion 3 woman reported at the 8 week of gestation for antenatal care with comorbidity of protein C and protein S deficiency and recurrent pregnancy loss with for routine care. She was diagnosed as a case of interstitial pregnancy by transvaginal sonography and magnetic resonance imaging.

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An antibody-based HIV-1 vaccine will require the induction of potent cross-reactive HIV-1-neutralizing responses. To demonstrate feasibility toward this goal, we combined vaccination targeting the fusion-peptide site of vulnerability with infection by simian-human immunodeficiency virus (SHIV). In four macaques with vaccine-induced neutralizing responses, SHIV infection boosted plasma neutralization to 45%-77% breadth (geometric mean 50% inhibitory dilution [ID] ∼100) on a 208-strain panel.

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Article Synopsis
  • The study compares the outcomes of two surgical techniques for treating recurrent anterior shoulder dislocation with significant bone loss: the modified Latarjet procedure using iliac allograft and the standard Latarjet procedure using the coracoid process.
  • Six patients were analyzed, with both groups showing improvements in shoulder stability and functional scores at a 12-month follow-up, although the modified group had slightly better functional outcomes and range of motion.
  • While both methods had good clinical results, the modified technique may come with some donor site pain, and further research is recommended for a more conclusive comparison.
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Constrained implants have become more common in difficult primary total knee arthroplasty (TKA) cases in recent years because they may more effectively and conveniently handle the substantial instability that is evident in osteoarthritis of knees with severe varus deformity. However, the need for a constrained TKA in such conditions is controversial, as constraint implants come with a bargain of stability for longitivity. In this case report, we have successfully shown that even in cases of significant instability and bone loss, intraoperative conversion to a restricted device is rarely necessary.

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Technological, surgical, and patient demographic developments are driving a perpetual state of change in the field of orthopaedics. Orthopaedic education and training must evolve to better educate upcoming generations of surgeons for this changing environment if the profession is to continue to flourish. The promise of cutting-edge teaching techniques, such as virtual reality (VR), online learning environments, and simulation technology, is examined in this editorial, along with the necessity of developing curricula that take into account patients' evolving requirements and new technological advancements.

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The applicability of urinary minimum reporting limits (MRLs) to determine in-competition use of prohibited substances is an evolving topic. Most stimulants are subject to a universal MRL, despite the wide range of commercially available dosages for commonly used stimulants. Further, it is unknown whether the urinary MRL is reflective of a pharmacological dose ingested after the start of the in-competition period.

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Fracture healing is a complex biological process that can be delayed or impaired in certain situations. Bone morphogenetic proteins (BMPs) have emerged as a promising therapeutic strategy to promote bone formation and accelerate fracture healing. This editorial talks about the current understanding of BMPs, their mechanisms of action in fracture healing, and their potential applications in orthopedic trauma management.

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A significant amount of all paediatric fractures are forearm fractures involving the radius, ulnar shaft, or both. As surgical stabilisation lowers the likelihood of re-displacement, surgical intervention is currently recommended over conservative treatment of such fractures involving significant displacement and angulation. Open reduction and plating can better anatomically repair the majority of fractures.

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Unlabelled: is a leading cause of healthcare-associated infections globally. Vancomycin-resistant (VRSA), those with high-level resistance [minimum inhibitory concentration (MIC) of 16-32 µg/mL vancomycin], are uncommon, whereas vancomycin-intermediate (VISA; MIC of 4-8 µg/mL), are isolated more frequently and develop during long-term and/or repeated use of the antibiotic. VISA can be difficult to eradicate and infections may persist.

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Scanning electron microscopy (SEM) remains distinct in its ability to allow topographical visualization of structures. Key elements to consider for successful examination of biological specimens include appropriate preparative and imaging techniques. Chemical processing induces structural artifacts during specimen preparation, and several factors need to be considered when selecting fixation protocols to reduce these effects while retaining structures of interest.

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Δ-Tetrahydrocannabinol (Δ-THC) is usually the primary psychoactive agent in cannabis preparations. Recently, products containing another isomer, Δ-tetrahydrocannabinol (Δ-THC), have become available for sale. Δ-THC exists naturally in the cannabis plant at very low concentrations; hence, the Δ-THC present in most of the above-mentioned products is likely to be manufactured synthetically.

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Osteoid osteomas (OOs) are non-malignant primary bone abnormalities marked by a central nidus surrounded by reactive sclerosis. They typically manifest as aggravated nocturnal pain that responds to non-steroidal anti-inflammatory drugs (NSAIDs). These growths are most frequently found within the intracortical bone and the diaphysis of elongated bones.

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Article Synopsis
  • Natural IgM antibodies (IgMn) play a key role in facilitating genetic exchange among Leishmania parasites by inducing the formation of transient clumps that promote fusion and hybridization.
  • IgMn from Leishmania-free animals binds to the parasites' surface, causing significant changes in their transcript and protein expression, although this binding is partially reduced after glycosidase treatment.
  • Increased hybrid formation occurs in sand flies that receive IgMn through a second blood meal, demonstrating a strong link between host antibodies and parasite genetic diversity, ultimately enhancing the fitness of Leishmania.
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  • The study investigates how biotin supplementation affects the detection of human chorionic gonadotropin (hCG) in urine, with a focus on male athletes using hCG as a performance enhancer.
  • Ten male participants were given hCG with either biotin or a placebo; results showed that biotin drastically increased urinary biotin levels, leading to fewer positive hCG results in the biotin group compared to the placebo group.
  • The findings suggest that biotin can interfere with urine tests for hCG, making biotin-dependent immunoassays unreliable in samples with high biotin levels, thus cautioning against their use in such cases.
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Achilles tendon rupture is a common injury that occurs due to sudden dorsiflexion of the plantar-flexed foot. Both acute and chronic ruptures are frequently misdiagnosed and mistreated. Acute Achilles tendon rupture commonly occurs in middle-aged individuals (30-40 years).

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19-Norandrosterone (19NA) is the preferred urinary target compound to identify doping with nandrolone or related 19-norsteroids. At concentrations between 2.5 and 15 ng/mL, isotope ratio mass spectrometry (IRMS) is required to establish exogenous origin of urinary 19NA.

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Clavicle fractures are a common clinical problem that accounts for about 10% of all fractures. Cho's type II fractures compromise the integrity of the coracoclavicular ligament and are thus inherently unstable, necessitating a lengthy healing period and being associated with a high rate of nonunion or malunion. The lowering of these rates is largely dependent on restoring the stability of the distal clavicle.

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Elongated ovarian ligament can lead to adnexal torsion. Several cases of ovarian torsion have been reported where the ovarian ligament was elongated, and ovarian detorsion and ovarian ligament plication were done. In our case, a young girl presented with recurrent left lower abdominal pain, especially after exercise, with normal ovaries found on ultrasound.

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Gout is a crystal deposition disorder caused due to the deposition of monosodium urate crystals in joints and other tissues secondary to hyperuricemia. Podagra is the term for gout of the first metatarsophalangeal joint. In our case report, a 30-year-old male patient came to our OPD with complaints of swelling over the first metatarsophalangeal joint for one year, which was insidious in onset, localized, and had a sudden increase in size over the past three months.

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The Sleeping Beauty (SB) transposon system is an efficient non-viral tool for gene transfer into a variety of cells, including human cells. Through a cut-and-paste mechanism, your favorite gene (YFG) is integrated into AT-rich regions within the genome, providing stable long-term expression of the transfected gene. The SB system is evolving and has become a powerful tool for gene therapy.

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Social media platforms are one of the prominent new-age methods used by public for spreading awareness or drawing attention on an issue or concern. This study demonstrates how the twitter responses of public can be used for qualitative monitoring of air pollution in an urban area. Tweets discussing about air quality in Delhi, India, were extracted during 2019-2020 using a machine learning technique based on self-attention network.

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Objectives: An alarming rate of adverse perinatal outcomes as well as maternal deaths has been reported worldwide during this pandemic. It would be prudent to start thinking on the lines of acute or chronic intrauterine fetal hypoxia due to placental microvascular pathology or villitis caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection. Autopsy studies of deceased patients with severe COVID-19 have revealed the presence of diffuse pulmonary alveolar damage, thrombosis, and microvascular injuries.

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