Publications by authors named "Wadhwa A"

While Hepatitis A Virus (HAV) vaccination in global immunization programs has shown a virtual elimination of the disease within few years of the vaccination program, changing epidemiological landscape in India underscores the need for evidence-based, updated guidance on immunization practices. In May 2024, a panel of 15 distinguished opinion leaders and an organizing committee convened for an intensive, face-to-face advisory board meeting on high burden of HAV infection among adults, increased mortality rate in adolescents, symptomatic presentation in children, and evolving landscape globally and within India. Extensive comparable deliberations on long-term follow-up data from India and data from country of origin advocated immunogenicity, tolerability, and long-term protective effects of single-dose live attenuated HAV vaccine in children.

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Background: The association between skeletal muscle and adipose tissue (body composition) and early response using positron emission tomography (PET) in pediatric Hodgkin lymphoma (HL) remains unstudied.

Methods: Patients enrolled on Children's Oncology Group studies AHOD0031 (intermediate-risk HL) and AHOD0831 (high-risk HL) with digital abdominal computed tomography (CT) scans at diagnosis and PET scans after 2 cycles (PET2) were included. Two consecutive slices at the third lumbar vertebra were identified and skeletal muscle index (SMI, in cm2/m2) and total adipose tissue index (TATI, in cm2/m2) were calculated using sliceOmatic (Magog, Canada) and height at diagnosis.

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Background: Parents of children newly diagnosed with cancer require specialized education to provide care for their child at home, including the management of complex medication regimens.

Objective: To assess the complexity of home medication regimens in a cohort of newly diagnosed pediatric oncology patients.

Methods: We inventoried and categorized all discharge medications for each patient and used the Medication Regimen Complexity Index (MRCI) to quantify the complexity of the prescribed medication regimens.

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Intracranial hemorrhages are highly concerning but underreported complications related to flow diversion (FD) treatment of intracranial aneurysms. Herein, we aimed to characterize these complications and the factors influencing their occurrence. We retrospectively reviewed patients treated with FD from 2013 to 2023 at a single U.

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When formulating mRNA into lipid nanoparticles (LNP), various copy numbers of mRNA are encapsulated, leading to a distribution of mRNA loading levels within the LNPs. It is unclear whether the mRNA loading level affects the functional delivery of the message. Here we show that depending on the mRNA loading level, LNPs exhibit distinct mass densities and can be fractionated via ultracentrifugation.

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Background: About 25% of patients with acute ischemic stroke have lacunar infarct on follow-up imaging. In this secondary analysis from the AcT (Alteplase Compared With Tenecteplase) trial, we assessed if there is variation in safety or efficacy of intravenous thrombolysis by infarct type in patients with no visible occlusion. We also determined if this effect differed between tenecteplase and alteplase.

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The most common method of processing metal oxide and perovskite thin films in the laboratory is thermal annealing (TA), which is a constraint for the commercialization of large-scale perovskite solar cells. Here, we present a photonic curing (PC) process to produce fully photonically annealed perovskite cells-a fast process with well-controlled, short light pulses-to develop perovskite photovoltaic devices with high efficiency. We also demonstrate how to use the parameters of the photonic annealing system to control the optical, electrical, morphological, and structural properties of perovskite layers for photovoltaic device applications.

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Objective: The median household income is a useful metric for healthcare disparity assessment. New England holds the highly diverse, densely populated Boston metropolitan area, which is known for having one of the highest living wages in the US. To the authors' knowledge, there is no published data on the effects of optimal versus suboptimal median household income on the surgical treatment of patients with traumatic brain injury (TBI).

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Article Synopsis
  • An adolescent with ANMDAE and catatonia was treated with zolpidem after traditional treatments like benzodiazepines and ECT failed.
  • ANMDAE presents with neuropsychiatric symptoms, including memory issues, seizures, and catatonia, which can lead to serious medical complications.
  • Current guidelines offer limited options for treating catatonia in young patients who don't respond to standard treatments, and zolpidem may be a viable alternative.
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Article Synopsis
  • - The study aimed to analyze stroke-related outcomes between Moyamoya syndrome (MMS) subgroups and Moyamoya disease (MMD) patients using propensity score matching (PSM) to provide direct comparisons.
  • - Researchers analyzed a national database from 2011-2020, focusing on patients with MMD and specific comorbidities (sickle-cell disease, Down syndrome, and neurofibromatosis), and matched them to control for stroke risk factors.
  • - Results indicated that patients with MMS related to sickle-cell disease had significantly lower rates of ischemic strokes, hemorrhagic strokes, and transient ischemic attacks compared to those with MMD only, while no significant differences were found in the MMS
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Background: Socioeconomic status has historically influenced traumatic brain injury (TBI) outcomes, yet pediatric TBI disparities remain understudied. We aimed to analyze the National Inpatient Sample database for socioeconomic disparities in the outcomes of pediatric TBI patients.

Methods: The National Inpatient Sample from 2011 to 2020 was retrospectively analyzed for pediatric TBI patients.

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The prejudice reduction potential of face-to-face intergroup contact is widely established, but we know much less about computer-mediated intergroup contact (online contact) specifically via social media where interactions are less controlled and mostly asynchronous. Additionally, much of the work on online contact has focused on positive, controlled contact, neglecting the effect of negative contact. We examined the effects of mediated contact via online posts with differing valence (positive, negative, and neutral) in three experimental studies, in an imaginary scenario (Study 1:  = 120) and a real intergroup scenario with South and North Indians (Study 2:  = 296, Study 3:  = 336).

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Background: Deep brain stimulation (DBS) is a standard treatment for movement disorders, epilepsy, and others, yet its influence on postprocedural sleep quality remains an under-researched topic.

Study Objectives: We performed a systematic review and meta-analysis of all DBS effects on sleep.

Methods: The use of preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA) was utilized.

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Article Synopsis
  • Electroconvulsive therapy (ECT) is highlighted as a safe and effective treatment for psychiatric disorders in kids and teens, particularly for severe cases.
  • The text discusses ECT's history, legal and ethical aspects, common uses (like treatment-resistant mood disorders), and the importance of thorough medical evaluations before beginning treatment.
  • Informed consent from both the patient and their parents is essential, ensuring that the patient understands and agrees to the procedure.
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Purpose: The purpose of this study was to evaluate various morphologic features of axillary nodes on ultrasound (US) in predicting malignancy and estimate the incidence of malignancy in axillary nodes based on their imaging mode of detection.

Methods And Materials: A retrospective review of all percutaneous US-guided biopsies on axillary nodes performed at our institution between 1/1/2019-09/30/2021 was performed. Sonographic morphologic features of the biopsied node, imaging mode of detection and size of primary breast malignancy were correlated with malignancy.

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We extensively studied serigraphic screen-printed commercial silver flake inks loaded with silicon inclusions in order to achieve pinning at the grain boundaries. Based on grain size measurements using electron backscattered diffraction (EBSD), commercial silver ink with silicon microparticle content of 5 wt.% shows significant grain growth retardation compared to pristine silver ink, which stabilizes electrical conductivity up to 700 °C via a Zener pinning mechanism.

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Background: Imbalance is the most commonly reported side effect following focused ultrasound (FUS) thalamotomy for essential tremor (ET). It remains unknown which patients are more likely to develop imbalance following FUS treatment.

Objective: To identify preoperative and treatment-related sonication parameters that are predictive of imbalance following FUS treatment.

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Background: Multiple factors have been proposed to affect the vessel ingrowth from the superficial temporal artery (STA) after Encephalo-Duro-Arterio-Synangiosis (EDAS).

Methods: This retrospective single-center analyses included patients with Moyamoya Disease (MMD) undergoing EDAS from January 1st, 2013, to December 31st, 2023. Evaluated variables included demographic characteristics, clinical presentation, technical details, modified Rankin Scale (mRS) scores, and radiographic outcomes.

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Article Synopsis
  • Chronic subdural hemorrhage (cSDH) is a common neurosurgical condition, and this systematic review aimed to identify risk factors for seizures following its treatment.* -
  • The review analyzed 18 studies with nearly 5000 patients, finding a 10% overall seizure incidence after treatment, with lower risks associated with burr hole surgery compared to craniotomy.* -
  • The findings suggest a need for standardized reporting and more comparative research to better understand seizure risks post-cSDH treatment, particularly regarding the effectiveness of prophylactic antiepileptic medications.*
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  • The study examines Hereditary angioedema with normal C1-inhibitor function (HAE nC1-INH) and idiopathic angioedema of unknown etiology (AE-UNK) in Canada by analyzing electronic health records from 2012 to 2022.
  • Out of 60 patients analyzed, the average age of symptom onset was 21.5 for HAE nC1-INH and 23 for AE-UNK, with significant differences in triggers for episodes and treatment received post-diagnosis.
  • The results highlight that while most patients received long-term prophylaxis after diagnosis, the types of treatments and the prevalence of angioedema attacks varied between the two conditions, indicating distinct
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