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  1. Article ; Online: Quality Improvement Report: Design and Implementation of a Radiology E-Consult Service.

    Suresh, Kalpana / Hill, Paul A / Kahn, Charles E / Schnall, Mitchell D / Rosen, Mark A / Zafar, Hanna M / Trerotola, Scott O / Cook, Tessa S

    Radiographics : a review publication of the Radiological Society of North America, Inc

    2023  Volume 43, Issue 12, Page(s) e230139

    Abstract: Electronic consultations (e-consults) mediated through an electronic health record system or web ... based platform allow synchronous or asynchronous physician-to-physician communication. E-consults have ... e-consults to connect health care providers directly with radiologists.The authors outline how ...

    Abstract Electronic consultations (e-consults) mediated through an electronic health record system or web-based platform allow synchronous or asynchronous physician-to-physician communication. E-consults have been explored in various clinical specialties, but relatively few instances in the literature describe e-consults to connect health care providers directly with radiologists.The authors outline how a radiology department can implement an e-consult service and review the development of such a service in a large academic health system. They describe the logistics, workflow, turnaround time expectations, stakeholder management, and pilot implementation and highlight challenges and lessons learned.
    MeSH term(s) Humans ; Quality Improvement ; Referral and Consultation ; Software ; Communication ; Radiology
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603172-9
    ISSN 1527-1323 ; 0271-5333
    ISSN (online) 1527-1323
    ISSN 0271-5333
    DOI 10.1148/rg.230139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online ; E-Book: Clinical consultation skills in medicine

    Suresh, E.

    a primer for MRCP PACES

    (MasterPass Series)

    2024  

    Author's details Ernest Suresh
    Series title MasterPass Series
    Keywords Clinical medicine
    Subject code 411
    Language English
    Size 1 Online-Resource (333 Seiten)
    Publisher CRC Press
    Publishing place Boca Raton, FL
    Document type Book ; Online ; E-Book
    Note Includes index.
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 1-00-343023-6 ; 1-003-43023-6 ; 1-000-96713-1 ; 9781032553436 ; 978-1-00-343023-0 ; 978-1-003-43023-0 ; 978-1-000-96713-5 ; 103255343X
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article ; Online: Ancistrolikokine E

    Awale, Suresh / Dibwe, Dya Fita / Balachandran, Chandrasekar / Fayez, Shaimaa / Feineis, Doris / Lombe, Blaise Kimbadi / Bringmann, Gerhard

    Journal of natural products

    2018  Volume 81, Issue 10, Page(s) 2282–2291

    Abstract: ... alkaloid ancistrolikokine E ...

    Abstract PANC-1 human pancreatic cancer cells are characterized by their ability to proliferate aggressively under hypovascular and hypoxic conditions in the tumor microenvironment, displaying a remarkable tolerance to nutrition starvation. The antiausterity strategy is a new approach in anticancer drug discovery aiming at the identification of potent agents that inhibit preferentially the survival of tumor cells during a limited supply of nutrients and oxygen. The new 5,8'-coupled naphthyldihydroisoquinoline alkaloid ancistrolikokine E
    MeSH term(s) Alkaloids/chemistry ; Alkaloids/pharmacology ; Antineoplastic Agents, Phytogenic/chemistry ; Antineoplastic Agents, Phytogenic/pharmacology ; Autophagy/drug effects ; Cell Line, Tumor ; Cell Movement/drug effects ; Cell Survival/drug effects ; Congo ; Humans ; Isoquinolines/chemistry ; Isoquinolines/pharmacology ; Molecular Structure ; Oncogene Protein v-akt/drug effects ; Pancreatic Neoplasms/drug therapy ; Plants, Medicinal/chemistry ; Signal Transduction/drug effects ; TOR Serine-Threonine Kinases/drug effects ; Tumor Stem Cell Assay
    Chemical Substances Alkaloids ; Antineoplastic Agents, Phytogenic ; Isoquinolines ; MTOR protein, human (EC 2.7.1.1) ; TOR Serine-Threonine Kinases (EC 2.7.1.1) ; Oncogene Protein v-akt (EC 2.7.11.1)
    Language English
    Publishing date 2018-10-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 304325-3
    ISSN 1520-6025 ; 0163-3864
    ISSN (online) 1520-6025
    ISSN 0163-3864
    DOI 10.1021/acs.jnatprod.8b00733
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: In silico prediction of e-cigarette aerosol particle transport and deposition within the airways.

    Aghababaie, Marzieh / Suresh, Vinod / McGlashan, Sue / Tawhai, Merryn / Burrowes, Kelly

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

    2023  Volume 2023, Page(s) 1–4

    Abstract: Electronic cigarettes (ECs) generate aerosols by heating up a liquid ('e-liquid') that typically ...

    Abstract Electronic cigarettes (ECs) generate aerosols by heating up a liquid ('e-liquid') that typically consists of propylene glycol (PG), vegetable glycerol (VG), nicotine and flavouring agents. These aerosols transport through the airway tree, and lung and deposit non-uniformly in the bronchi and alveoli. Studying the transport of aerosols through lung airways is necessary because it provides information about the concentration and deposition of particles in the upper and lower airways. Here, particle transport and deposition were simulated within an anatomically-realistic airway model, which was constructed from computed tomography imaging. Particle transport was simulated using the advection-diffusion equations. Particle deposition was estimated using three different mechanisms; including sedimentation, impaction and Brownian diffusion. Results show that by increasing the particle size (PS) from 50 nm to 500 nm, the total deposition efficiency decreased from 50% to 10%, and then by increasing the PS to 3 μm, it increased to 60%. In addition, Brownian deposition was the dominant mechanism for nanoparticles (PS≪0.5μm), while the sedimentation deposition mechanism was the dominant one for microparticles (PS≫0.5μm).Clinical relevance-There is an urgent need to understand the risk that ECs pose to human health and to determine the safest methods for using these devices to support smoking cessation whilst also minimising harm. The results of this study will be used to simulate the conditions such as aerosol concentration and flow rate in airways and alveoli to use in in vitro studies.
    MeSH term(s) Humans ; Electronic Nicotine Delivery Systems ; Aerosols ; Nicotine ; Lung ; Bronchi
    Chemical Substances Aerosols ; Nicotine (6M3C89ZY6R)
    Language English
    Publishing date 2023-12-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2694-0604
    ISSN (online) 2694-0604
    DOI 10.1109/EMBC40787.2023.10340944
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Designing and implementing e-anubandh

    Madhur Gupta / Suresh Chari / Arti A Kasulkar

    Journal of Dr. NTR University of Health Sciences, Vol 11, Iss 1, Pp 74-

    A mentorship program during the COVID pandemic for medical undergraduate students

    2022  Volume 80

    Abstract: ... a continuous process to dissolve the boundaries, and hence, e-mentoring could be one of the ways ... in which both the students and teachers connect. Material and Methods: A mentorship program called e-anubandh was designed ... Conclusion: The e-anubandh mentorship program helped in bridging the gap between the students and teachers ...

    Abstract Background: There is a feeling of uncertainty in the COVID era and the graduate students are facing the challenge of being disconnected from the college. Mentorship has been shown to be essential for the attainment of skills as well as psychological development. The mentor-mentee relationship is a continuous process to dissolve the boundaries, and hence, e-mentoring could be one of the ways in which both the students and teachers connect. Material and Methods: A mentorship program called e-anubandh was designed and implemented. Six hundred medical undergraduate students were grouped with 47 faculty and 94 senior students. An online session was conducted in groups. At the end of the mentorship program, the feedback and perception of the mentors and mentees were taken using both open-ended as well as closed-ended validated questionnaires. Results: A total of 308 (out of 438 who participated) students, 94 senior mentors and 47 faculty mentors, completed the feedback questionnaire. The majority considered the initiative taken by the institute worth appreciating. The mentees and mentors found the program useful in building student–teacher relationships. They opined that such programs should be undertaken more frequently and for longer durations. Conclusion: The e-anubandh mentorship program helped in bridging the gap between the students and teachers created in the COVID era. Both the mentors and mentees were extremely satisfied with this program and such intervention appears to be a promising strategy in the COVID period.
    Keywords covid ; e-mentorship ; medical students ; medical undergraduates ; Medicine ; R
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Association Between the Immunohistochemistry Expression of E-cadherin, Beta-Catenin, and CD44 in Colorectal Adenocarcinoma.

    Tunuguntla, Amrutha / Suresh, T N / Pn, Sreeramulu

    Cureus

    2023  Volume 15, Issue 3, Page(s) e35686

    Abstract: ... epithelial-mesenchymal transition (EMT) plays an important role in cancer metastasis. In EMT, there is downregulation of E-cadherin ... Aims and objectives To determine the IHC expression of E-cadherin, beta-catenin, and CD44 in colorectal ... adenocarcinoma and find the association of the IHC expression of E-cadherin, beta-catenin, and CD44 ...

    Abstract Background Colorectal cancer is a leading cause of cancer-related deaths worldwide, and epithelial-mesenchymal transition (EMT) plays an important role in cancer metastasis. In EMT, there is downregulation of E-cadherin, an intracellular adhesion molecule, as well as mutations in beta-catenin genes. On immunohistochemistry (IHC), the expression of CD44 portrays stem cell differentiation, which, in turn, is strongly associated with EMT. Thus, newer targeted therapies can be advised based on the expression of EMT and stem cell differentiation. Aims and objectives To determine the IHC expression of E-cadherin, beta-catenin, and CD44 in colorectal adenocarcinoma and find the association of the IHC expression of E-cadherin, beta-catenin, and CD44 with the histopathological grade, stage, lymph node metastasis, and lymphovascular invasion of colorectal adenocarcinoma. Materials and methods Fifty histologically proven cases of colorectal adenocarcinoma from 2016 to 2021 were included in this study, and clinicopathological data including age, gender, grading, TNM (tumour, node, and metastasis) staging, and lymph node metastasis were collected and hematoxylin and eosin slides were reviewed. IHC staining for E-cadherin, beta-catenin, and CD44 was done for all cases using the peroxidase and anti-peroxidase method, and the results were analysed. Results Peak incidence occurred in the 61-70 years age group (36%), and the most common site of the tumour was the rectal area (48%). The majority of the cases were in TNM stage II (37.3%), and a low expression of E-cadherin was found to be associated with higher T stage (p = 0.03), TNM staging (p = 0.04), as well as the presence of lymph node metastasis (p = 0.006). High beta-catenin expression was observed to have a significant correlation with a higher T stage (p = 0.006) and TNM staging (p = 0.005), while high CD44 expression was found to be associated with lymph node metastasis (p = 0.01). Altered expression of EMT-related proteins (E-cadherin and beta-catenin) showed a significant correlation with higher T stage (p = 0.03), TNM staging (p = 0.016), and lymph node metastasis (0.04). Conclusions EMT and cancer stem cell IHC markers are biomarkers for aggressive tumour growth and lymph node metastasis. Hence, EMT markers (E-cadherin and beta-catenin) and cancer stem cell markers (CD44) can be used as prognostic markers.
    Language English
    Publishing date 2023-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35686
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Supramolecular Interactions-Assisted Polymorphism and Unique Mechanofluorochromism in 9,10-Bis((E)-4-(trifluoromethyl)styryl)anthracene.

    Suresh, Sumi K / Raju, Princy Deni / Krishnan, Aravind / Ramachandran, Lekshmi M / Suneesh, Chettiyam Veettil

    Chemistry (Weinheim an der Bergstrasse, Germany)

    2023  Volume 29, Issue 27, Page(s) e202204030

    Abstract: A fluorinated distyrylanthracene (DSA) derivative, 9, 10-bis((E)-4-(trifluoromethyl)styryl ...

    Abstract A fluorinated distyrylanthracene (DSA) derivative, 9, 10-bis((E)-4-(trifluoromethyl)styryl)anthracene abbreviated as 4FDSA with two crystalline polymorphs (4FDSA-G (green emission) and 4FDSA-O (orange emission)), showing remarkable aggregation-induced enhanced emission and mechanofluorochromic characteristics, was developed. One of the polymorphs in its crystalline arrangement exhibits the hardly seen F…F interactions. It questions the conventional belief of the non-polarisable nature of fluorine atoms in forming the halogen bond. The twisted molecular conformation facilitated by the various supramolecular interactions resulted in the formation of another intensely emissive bluer nanocrystal (4FDSA-NC) at aggregating conditions. Even though, the both polymorphs show distinct tricolor luminescence switching on the action of mechanical force, fumigation of ground crystals with solvent vapor resulted in the formation of a more thermodynamically favorable 4FDSA-NC form. The work demonstrates the effect of supramolecular interactions assisted conformational changes in tuning the unique mechanofluorochromic characteristics of the polymorphic crystals.
    Language English
    Publishing date 2023-03-30
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1478547-X
    ISSN 1521-3765 ; 0947-6539
    ISSN (online) 1521-3765
    ISSN 0947-6539
    DOI 10.1002/chem.202204030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: S.T.O.N.E Score versus Guy’s Stone Score in the Prediction of Stone Clearance in Percutaneous Nephrolithotomy

    JOHN PETER / SURESH BHAT / FREDRICK PAUL

    Journal of Clinical and Diagnostic Research, Vol 18, Iss 01, Pp 05-

    A Cross-sectional Study

    2024  Volume 08

    Abstract: ... postoperative complications. Various scoring systems have been described to predict both of these outcomes. S.T.O.N.E. Score ... and Guy's Stone Score (GSS) are two of the most widely used scoring systems. S.T.O.N.E. Score ... of the two scoring systems, namely S.T.O.N.E. Score and GSS. Materials and Methods ...

    Abstract Introduction: Percutaneous Nephrolithotomy (PCNL) has become the standard of care for large renal calculi. The aim of the surgery is to achieve maximum stone clearance with minimal postoperative complications. Various scoring systems have been described to predict both of these outcomes. S.T.O.N.E. Score and Guy's Stone Score (GSS) are two of the most widely used scoring systems. S.T.O.N.E. Score comprises of Size of the stone, Tract length, degree of Obstruction of the urinary system, Number of stones, and Essence. Aim: To compare the predictive power for stone clearance and postoperative complications of the two scoring systems, namely S.T.O.N.E. Score and GSS. Materials and Methods: This cross-sectional study was conducted at the Department of Genitourinary Surgery at Government Medical College, Kottayam, Kerala, India from March 2019 to August 2020. All patients above 18 years undergoing PCNL were included. A total of 122 patients were studied by calculating the preoperative S.T.O.N.E. Score and GSS and comparing them with post-PCNL stone clearance and complications. The association of both S.T.O.N.E. Score and GSS with stone clearance was estimated by plotting the Receiver Operating Curve (ROC) curve using Statistical Package for Social Sciences (SPSS) version 20, International Business Machines (IBM) SPSS Statistics windows, version 20.0 (Armonk, NY: IBM Corp.). A p-value <0.05 was considered statistically significant. Results: The mean age of the subjects was 49.8±12.47 years. A total of 76 males and 46 females were included in the present study. The mean S.T.O.N.E. Score among the study subjects was 7.12±1.57, and the mean GSS was 2.09±0.48. Complete stone clearance was achieved in 96 (78.7%) patients. A total of 22 (18%) patients had postoperative complications. Both scores had a significant association with stone clearance (p<0.001 for both) and postoperative complications (p-value for S.T.O.N.E. Score was 0.019 and GSS was 0.007). Conclusion: Both the S.T.O.N.E. Score and GSS can predict ...
    Keywords fluoroscopy ; kidney calculi ; renal calculi ; reciever operating curve ; staghorn calculi ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2024-01-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Prevalence, Correlates, and Perception of E-cigarettes among Undergraduate Students of Kathmandu Metropolitan City, Nepal: A Cross-Sectional Study.

    Khanal, Gayatri / Karna, Abhishek / Kandel, Suresh / Sharma, Hari Krishna

    Journal of smoking cessation

    2023  Volume 2023, Page(s) 1330946

    Abstract: Introduction: The use of e-cigarettes has been increasing globally especially among the youth ... public health concern. Hence, this study is aimed at identifying the prevalence, correlates, and perception of e ... SPSS version 20.: Results: The prevalence of ever use and current use of e-cigarettes was 21.2% and ...

    Abstract Introduction: The use of e-cigarettes has been increasing globally especially among the youth population due to rigorous advertisement, marketing, and promotion which has become a significant public health concern. Hence, this study is aimed at identifying the prevalence, correlates, and perception of e-cigarettes among undergraduate students of Kathmandu city.
    Methods: A cross-sectional study was conducted among 405 undergraduates of capital city of Nepal from April 2022 to December 2022. A two-stage systematic random sampling was used to select the respondents. An anonymous, semistructured, self-administered questionnaire was used for data collection. A descriptive, bivariable, and multivariable analysis was done using SPSS version 20.
    Results: The prevalence of ever use and current use of e-cigarettes was 21.2% and 5.9%, respectively. Number of close friends (AOR = 5.23, CI: 1.26, 16.39), number of friends using e-cigarettes (AOR = 7.23, CI: 0.93, 22.82), male sex (AOR = 2.88, CI: 2.15, 10.35), and age (COR = 5.07, CI: 0.93, 8.19) were the major predictors of current e-cigarette usage. Similarly, number of friends using e-cigarettes (AOR = 5.90, CI: 2.15, 10.35), male sex (AOR = 3.53, CI: 2.15, 10.35), age (COR = 4.56, CI: 0.98, 6.24), and place of residence (COR: 5.19, CI: 0.83, 8.02) were the major predictors of ever e-cigarette usage. The prevalence of e-cigarette consumption was higher in males than females (5.4% vs. 0.5%). Approximately, 34.8% respondents had perceived e-cigarettes as a means to help in smoking cessation. 56.5% adults knew that e-cigarettes promoted conventional smoking. Majority (64.7%) of the undergraduate students had presumed e-cigarettes as less harmful to conventional smoking.
    Conclusion: Ever use, current use, and misconception on e-cigarettes were widespread among the undergraduate students. Age, male sex, number of close friends, number of peers using e-cigarette, and place of residence were the major predictors for e-cigarette usage. To deal with the increased e-cigarette consumption state, awareness on the harmful addictive properties of e-cigarettes along with its adverse health consequences must be propagated and an appropriate intervention must be implemented.
    Language English
    Publishing date 2023-11-17
    Publishing country England
    Document type Journal Article
    ISSN 1834-2612
    ISSN (online) 1834-2612
    DOI 10.1155/2023/1330946
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Impact of COVID-19 on lifestyles related etiquette among nursing staff in India: a cross sectional descriptive e-survey.

    Kalal, Nipin / Sharma, Suresh K / Rana, Nimarta / Kumar, Ashok

    Investigacion y educacion en enfermeria

    2023  Volume 41, Issue 1

    Abstract: ... physical activity, and sleep behavior among nursing staff in India.: Methods: A crosssectional descriptive E ...

    Abstract Objective: To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eating, physical activity, and sleep behavior among nursing staff in India.
    Methods: A crosssectional descriptive E-survey was conducted among 942 nursing staff. The validated electronic survey questionnaire was used to assess the changes in lifestyle-related etiquette before and during COVID-19 Pandemic.
    Results: Pandemic. Results. A total of 942 responses (mean age 29.01±5.7years) were collected, 53% of the respondents were men. A slight decline in healthy meal consumption pattern (p<0.0001) and a restriction of unhealthy food items were observed (p<0.0001), and also reduction in physical activity coupled with decreased participation in leisure-related activities was seen (p<0.0001). The stress and anxiety slightly increase during COVID-19 pandemics (p<0.0001). Additionally, social support extended by family and friends to maintain healthy lifestyle-related behaviors also significantly decreased during COVID-19 PANDEMIC pandemics compared to before (p<0.0001). Although the COVID-19 Pandemic slightly reduced the intake of healthy meals and deterred participants from consuming unhealthy food, this this may have led to individual weight loss.
    Conclusions: In general, there was a negative impact on, lifestyle like diet, sleep and mental health was observed. A detailed understanding of these factors can help to develop interventions to mitigate the harmful lifestyle-related etiquette that has manifested during COVID-19 Pandemic.
    MeSH term(s) Male ; Humans ; Young Adult ; Adult ; Female ; COVID-19 ; SARS-CoV-2 ; Cross-Sectional Studies ; Pandemics ; Life Style ; Surveys and Questionnaires
    Language English
    Publishing date 2023-04-18
    Publishing country Colombia
    Document type Journal Article
    ZDB-ID 605989-2
    ISSN 2216-0280 ; 0120-5307
    ISSN (online) 2216-0280
    ISSN 0120-5307
    DOI 10.17533/udea.iee.v41n1e06
    Database MEDical Literature Analysis and Retrieval System OnLINE

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