Publications by authors named "Varun Aggarwal"

leaves (TOL) extract has been used for the synthesis of biogenic iron oxide nanoparticles (TOL-FeO NPs) using a green coprecipitation method, and its catalytic potential has been explored for multicomponent reactions (MCRs). Phytoconstituents such as phenolic compounds help in nanocatalyst formation and its stabilization. Comprehensive characterization using EDX, FE-SEM, XPS, FTIR, TGA, -XRD, and TEM, confirmed the successful synthesis of TOL-FeO NPs.

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Background: The advantages of endoscopic resection of pituitary adenomas over microscopic have been exhaustively documented in the literature, though controversy persists regarding the superiority of either technique. The microscopic technique being more common at our center, we compared the outcome of patients operated by microscopic transsphenoidal surgery (MTS) and endoscopic transsphenoidal surgery (ETS) approach.

Methods: Retrospective data on transsphenoidal surgery for nonfunctional adenomas between 2019 and 2023 were analyzed.

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Women with adult congenital heart disease (CHD) face unique challenges during pregnancy, as gestational cardiovascular (CV) and hemodynamic changes can exacerbate underlying cardiac conditions. While these adaptations are well tolerated in women with structurally and functionally normal hearts, they pose significant risks for those with adult CHD (ACHD), whether repaired, palliated, or with residual defects. Maternal CHD is associated with an increased risk of adverse CV events, including stroke, heart failure, arrhythmias, and thromboembolic complications during pregnancy and the peripartum period.

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Water pollution has become a major threat globally and is challenging due to widespread industrial and human activities. Various strategies have been considered for the safe use of water or its decontamination. Nanoparticles (NPs)-based methods for water purification have been widely explored, however, have major drawbacks associated with them, like use of harmful chemicals, high energy costs for their synthesis.

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Background: The prone position, frequently used in spine surgeries for optimal surgical access, induces physiological changes in cardiovascular and respiratory parameters. Increased intraabdominal and intrathoracic pressures lead to elevated central venous pressure (CVP). Along with raised intrathoracic pressure, positive end-expiratory pressure (PEEP) results in elevated CVP, impeding venous blood flow from the brain and potentially affecting intracranial pressure (ICP).

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Carbon dots are the new class of nanomaterials with a size range of 10 nm or less. These are associate with the important material properties such as good biocompatibility, fluorescent nature, small size and easy to synthesize with low toxicity which make them the first choice over the fluorescent inorganic materials and dyes, to be used as biocompatible nanoprobes for the detection of food adulterations. Herein, we have focused on the methods of synthesis of these tiny zero dimensions, fluorescent nanomaterials (CDs), their properties, mechanism of fluorescence, and lastly their wide applications in food analysis which include the detection of additives, heavy metal ions, organic pollutants, foodborne microbes, antibiotic and pesticides.

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  • * A study analyzed 15 patients with calvarial TB treated in Haryana from 2018 to 2021, noting that symptoms included scalp swelling and pain, with many patients having a history of pulmonary TB or HIV.
  • * Most patients were treated conservatively with procedures like fine-needle aspiration, while a few required surgery; the outcomes highlighted the need for timely and appropriate management due to serious complications.
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  • * A new clinical trial simulator (CTS) has been developed using five models that track changes in functional test performances, offering a way to optimize trial parameters and endpoints for DMD studies.
  • * This report illustrates the CTS’s functionality through two case studies, showcasing how it can enhance trial design while maintaining statistical significance, ultimately preventing unnecessary increases in trial size and duration.
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  • - The text discusses a rare complication called pseudoaneurysm that can occur in the right ventricular outflow tract (RVOT) after cardiac surgeries, particularly in a 3-month-old infant with tetralogy of Fallot and pulmonary atresia.
  • - The patient was critically ill with septic shock and very high pressure in the right ventricle, requiring urgent treatment to avoid high-risk surgery.
  • - The successful management involved using a Gore VBX balloon expandable covered stent to exclude the pseudoaneurysm and stenting the pulmonary arteries to relieve pressure, highlighting the importance of recognizing this condition and available treatment options.
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  • Endomyocardial biopsy is the standard method for monitoring heart transplant rejection, but this study explored a non-invasive index for assessing left ventricular relaxation in pediatric patients.
  • The researchers analyzed data from 65 pediatric heart transplant patients who underwent 246 procedures to compare the new left ventricular relaxation index with traditional biopsy results for detecting cellular rejection.
  • The findings showed that while the index had good sensitivity (100%) for identifying higher grades of rejection (2R and 3R), it lacked specificity (23%), indicating it may not be a reliable predictor of cardiac rejection in these patients.
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  • Direct installation of chlorine into molecules via C-H bond activation is a significant challenge in organic synthesis, critical for improving drug development.
  • Chlorination enhances molecular properties like lipophilicity and polarity, making chlorinated compounds valuable in biological applications.
  • The manuscript emphasizes the methods for targeted C-H chlorination at various positions and highlights the role of directing groups and catalysts in achieving site selectivity.
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  • * A survey of 79 program directors revealed notable differences in training pathways and case volumes, with a recommendation for trainees to complete at least 400 total cases, including 250 interventional cases.
  • * Ongoing mentorship is essential for mastering complex procedures, and external mentorship programs are suggested to enhance support for new interventionalists and improve patient care in congenital heart disease.
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  • Percutaneous pulmonary valve implantation (PPVI) is a catheter-based treatment for right ventricular outflow tract (RVOT) dysfunction, which can lead to serious complications if valves are improperly sized.
  • Researchers developed a more efficient method using patient-specific finite element (FE) models to assess risks before the PPVI procedure, significantly reducing computation time from hundreds of hours to just 2-6 minutes on a desktop computer.
  • The study showed that changes in the diameter of surrounding arteries predicted complications like aortic valve insufficiency and coronary artery compression accurately for all patients evaluated, indicating strong agreement between the FE model predictions and actual clinical outcomes.
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Background: Invasive haemodynamics are often performed for initiating and guiding pulmonary artery hypertension therapy. Little is known about the predictive value of invasive haemodynamic indices for long-term outcomes in children with pulmonary artery hypertension. We aimed to evaluate invasive haemodynamic data to help predict outcomes in paediatric pulmonary artery hypertension.

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  • * Families of postoperative pediatric cardiac patients were given these bracelets, which linked to secure medical information about the patient's cardiac history, and surveys were conducted to gather feedback on their experiences.
  • * Results showed that 65% of participants used the QR bracelet when seeking care, 55% found it useful, and 80% would recommend it to others, indicating high satisfaction and potential benefits in reducing medical errors and delays.
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Partial anomalous pulmonary venous return (PAPVR) is a rare congenital condition, and dual-drainage connection PAPVR to the left atrium has been reported in a few cases in the literature; in which cases, percutaneous catheterization was successfully used in lieu of surgery. We, hereby, describe a 7-month-old boy with a functional single-ventricle physiology with dual drainage of the left upper pulmonary vein to the left atrium and the innominate vein. Appropriate recognition of this entity allowed safe occlusion of the anomalous draining vein.

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  • New immunosuppressive therapies are needed to enhance long-term survival rates in kidney transplants.
  • The iBOX Scoring System has received qualification from the European Medicines Agency as a new method to measure treatment outcomes in kidney transplant clinical trials.
  • This system allows researchers to compare the effectiveness of new therapies against standard treatments over a 6 to 24-month period, aiming to show that new treatments are superior rather than just comparable.
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Background: Atrioventricular nodal reentrant tachycardia (AVNRT) does not commonly present during infancy. Although relative safety of catheter ablation of AVNRT has been demonstrated in pediatrics, this procedure is rarely indicated in children <15 kg.

Methods: Retrospective review of seven cases of AVNRT that presented in children younger than 1 year of age and required catheter ablation for definitive management.

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New immunosuppressive therapies that improve long-term graft survival are needed in kidney transplant. Critical Path Institute's Transplant Therapeutics Consortium received a qualification opinion for the iBOX Scoring System as a novel secondary efficacy endpoint for kidney transplant clinical trials through European Medicines Agency's qualification of novel methodologies for drug development. This is the first qualified endpoint for any transplant indication and is now available for use in kidney transplant clinical trials.

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Although regulatory agencies encourage inclusion of imaging biomarkers in clinical trials for Duchenne muscular dystrophy (DMD), industry receives minimal guidance on how to use these biomarkers most beneficially in trials. This study aims to identify the optimal use of muscle fat fraction biomarkers in DMD clinical trials through a quantitative disease-drug-trial modeling and simulation approach. We simultaneously developed two multivariate models quantifying the longitudinal associations between 6-minute walk distance (6MWD) and fat fraction measures from vastus lateralis and soleus muscles.

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  • Kidney transplantation is the best treatment for those with severe kidney disease, but understanding how kidney function changes after the surgery is still a challenge.
  • A new study developed a sophisticated nonlinear model to track kidney function over six years post-transplant using data from nearly 5,000 patients, focusing on both the initial recovery and long-term trends.
  • The model highlights the importance of factors like donor type and medication in influencing recovery and function decline, providing valuable insights for predicting kidney performance in transplant recipients.
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  • Vitamin B12 is crucial for neuronal health and is typically linked to specific neurological issues like peripheral neuropathy, but this report shares a rare case of B12 deficiency in a 12-month-old infant.
  • The infant exhibited lethargy, irritability, and other symptoms, leading to a diagnosis of severe B12 deficiency and anemia, alongside MRI findings of cerebral atrophy and subdural hematoma.
  • Following cobalamin supplementation, the child's condition improved significantly, underscoring the importance of early treatment and B12 supplementation for at-risk populations, particularly during pregnancy and breastfeeding.
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