13 results on '"Vaishnavi Sharma"'
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2. Fabrications of electrochemical sensors based on carbon paste electrode for vitamin detection in real samples
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Vaishnavi Sharma and Gururaj Kudur Jayaprakash
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Water-soluble vitamins ,fat-soluble vitamins ,redox reactions ,voltammetry ,modifiers ,Chemistry ,QD1-999 - Abstract
This review article examines some advancements in electrochemical sensors for vitamin detection in the past few decades. Vitamins are micronutrients found in natural foods essential for maintaining good health. Most vitamins cannot be synthesized by a body and must be obtained externally from natural food. Vitamins make a class of organic chemicals that shortage can cause various ailments and diseases, and consumption can become harmful if it exceeds the usually needed level. Because of these factors, vitamin detection has become highly significant and sparked interest over the past few decades. The electrochemical sensors function on the concept of electrochemical activity of practically all vitamins. This implies that concentrations of vitamins in the electrolyte may be detected by measuring the amounts of current generated at certain potentials by their oxidation and reduction at the working electrode surface. Voltammetric methods are superior to other methods because they are cheaper and show sharp sensitivity with faster analysis speed. The carbon-based electrodes, in particular carbon paste electrodes (CPE), have significant advantages like easier catalyst incorporation, surface renewability, and expanded potential windows with lower ohmic resistance. This review goes into detail about several electrochemical sensors involving CPE as the working electrode and its utilization to detect water- and fat-soluble vitamins.
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- 2022
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3. Machine Learning Quantification of Amyloid Deposits in Histological Images of Ligamentum Flavum
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Andy Y. Wang, Vaishnavi Sharma, Harleen Saini, Joseph N. Tingen, Alexandra Flores, Diang Liu, Mina G. Safain, James Kryzanski, Ellen D. McPhail, Knarik Arkun, and Ron I. Riesenburger
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Wild-type transthyretin amyloid ,Ligamentum flavum ,Trainable Weka Segmentation ,Machine learning ,Color thresholding ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Pathology ,RB1-214 - Abstract
Wild-type transthyretin amyloidosis (ATTRwt) is an underdiagnosed and potentially fatal disease. Interestingly, ATTRwt deposits have been found to deposit in the ligamentum flavum (LF) of patients with lumbar spinal stenosis before the development of systemic and cardiac amyloidosis. In order to study this phenomenon and its possible relationship with LF thickening and systemic amyloidosis, a precise method of quantifying amyloid deposits in histological slides of LF is critical. However, such a method is currently unavailable. Here, we present a machine learning quantification method with Trainable Weka Segmentation (TWS) to assess amyloid deposition in histological slides of LF. Images of ligamentum flavum specimens stained with Congo red are obtained from spinal stenosis patients undergoing laminectomies and confirmed to be positive for ATTRwt. Amyloid deposits in these specimens are classified and quantified by TWS through training the algorithm via user-directed annotations on images of LF. TWS can also be automated through exposure to a set of training images with user-directed annotations, and then applied] to a set of new images without additional annotations. Additional methods of color thresholding and manual segmentation are also used on these images for comparison to TWS. We develop the use of TWS in images of LF and demonstrate its potential for automated quantification. TWS is strongly correlated with manual segmentation in the training set of images with user-directed annotations (R = 0.98; p = 0.0033) as well as in the application set of images where TWS was automated (R = 0.94; p = 0.016). Color thresholding was weakly correlated with manual segmentation in the training set of images (R = 0.78; p = 0.12) and in the application set of images (R = 0.65; p = 0.23). TWS machine learning closely correlates with the gold-standard comparator of manual segmentation and outperforms the color thresholding method. This novel machine learning method to quantify amyloid deposition in histological slides of ligamentum flavum is a precise, objective, accessible, high throughput, and powerful tool that will hopefully pave the way towards future research and clinical applications.
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- 2022
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4. 340 Machine Learning Segmentation of Amyloid Load in Ligamentum Flavum Specimens From Spinal Stenosis Patients
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Andy Y. Wang, Vaishnavi Sharma, Harleen Saini, Joseph N. Tingen, Alexandra Flores, Diang Liu, Mina G. Safain, James Kryzanski, Ellen D. McPhail, Knarik Arkun, and Ron I. Riesenburger
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Medicine - Abstract
OBJECTIVES/GOALS: Wild-type transthyretin amyloid (ATTRwt) deposits have been found to deposit in the ligamentum flavum (LF) of spinal stenosis patients prior to systemic and cardiac amyloidosis, and is implicated in LF hypertrophy. Currently, no precise method of quantifying amyloid deposits exists. Here, we present our machine learning quantification method. METHODS/STUDY POPULATION: Images of ligamentum flavum specimens stained with Congo red are obtained from spinal stenosis patients undergoing laminectomies and confirmed to be positive for ATTRwt. Amyloid deposits in these specimens are classified and quantified by TWS through training the algorithm via user-directed annotations on images of LF. TWS can also be automated through exposure to a set of training images with user- directed annotations, and then application to a set of new images without additional annotations. Additional methods of color thresholding and manual segmentation are also used on these images for comparison to TWS. RESULTS/ANTICIPATED RESULTS: We develop the use of TWS in images of LF and demonstrate its potential for automated quantification. TWS is strongly correlated with manual segmentation in the training set of images with user-directed annotations (R = 0.98; p = 0.0033) as well as in the application set of images where TWS was automated (R = 0.94; p = 0.016). Color thresholding was weakly correlated with manual segmentation in the training set of images (R = 0.78; p = 0.12) and in the application set of images (R = 0.65; p = 0.23). DISCUSSION/SIGNIFICANCE: Our machine learning method correlates with the gold standard comparator of manual segmentation and outperforms color thresholding. This novel machine learning quantification method is a precise, objective, accessible, high throughput, and powerful tool that will hopefully pave the way towards future research and clinical applications.
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- 2022
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5. Utilising Building Component Data from BIM for Formwork Planning
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Manav Mahan Singh, Anil Sawhney, and Vaishnavi Sharma
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Formwork Design ,BIM ,Parametric Modelling ,Design Automation ,Formwork Visualisation ,Engineering economy ,TA177.4-185 ,Building construction ,TH1-9745 - Abstract
Advancements in the computing realm have assisted the Architecture, Engineering, and Construction (AEC) industry to progress significantly by automating several design tasks and activities. Building Information Modelling (BIM) authoring tools have played a significant role in automating design tasks and reducing the efforts required by the designer in redundant, repetitive or production-oriented activities. This paper explores one such approach that, with the help of BIM authoring tool and its Application Programming Interface (API), reduces the efforts expended on formwork design for concrete structures. The paper utilises the concept of using BIM data as input to compute the quantity of formwork, and generate visualisations and schedule of formwork. The developed approach first takes data input from semantic BIM to the API environment for computation and design of formwork systems, which is then placed within the BIM model, to generate visualisation and prepare schedules. The research work utilises a structural concrete wall as an example to demonstrate the presented approach. The approach will be influential in streamlining the formwork design process in the BIM environment and reducing efforts required by the designer and the planning engineer. Since the formwork elements are generated as 3-Dimensional (3D) solids and smart BIM elements, the generated model of formwork can be used for resolving clashes, scheduling, and resource planning.
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- 2017
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6. Clinical Reasoning: Adult Patient Presenting With Spine Pain Following a Motor Vehicle Accident
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Vaishnavi Sharma and Oscar Soto
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Neurology (clinical) - Abstract
A 52-year-old woman with a complex medical history, including a history of consanguinity, developed refractory uncontrollable spine pain after a motor vehicle accident 2 years before presentation. There were no well-defined findings on clinical examination. She was found to have mildly elevated serum creatine phosphokinase levels, and spine imaging revealed fatty replacement and atrophy affecting predominantly lumbar paraspinal muscles. Initial EMG sampling of multiple limb muscles was normal. However, a follow-up concentric needle examination sampling paraspinal and trunk muscles showed abundant myotonic discharges, fibrillations and positive sharp waves, and myopathic motor unit action potential changes. This pattern of neurophysiologic abnormalities prompted the search for a myopathic disorder, which was ultimately confirmed with additional studies. This case highlights the critical role of neurophysiologic evaluation of paraspinal and other trunk muscles in the disambiguation of clinical and imaging data, helping to establish the diagnosis of a rare but treatable myopathy at early disease stages.
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- 2023
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7. The life and legacy of William Beecher Scoville
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Andy Y, Wang, Diang, Liu, Joseph N, Tingen, Harleen, Saini, Vaishnavi, Sharma, Alexandra, Flores, and Ron I, Riesenburger
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General Medicine - Abstract
Dr. William Beecher Scoville (1906–1984) is a giant figure in the history of neurosurgery, well known by the public for his operation on Patient H.M. He developed dozens of neurosurgical instruments and techniques, with many tools named after him that are still widely used today. He founded numerous neurosurgical societies around the world. He led the movement in psychosurgery, developing the technique of selective orbital undercutting and performing hundreds of lobotomies throughout his career. However, his many contributions to the advancement of neurosurgery have not been well described in the medical literature. To bridge the knowledge gap, this article seeks to detail the life and career of William Beecher Scoville and bring to attention the enduring impact of his work.
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- 2022
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8. The Relationship Between Wild-Type Transthyretin Amyloid Load and Ligamentum Flavum Thickness in Lumbar Stenosis Patients
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Andy Y. Wang, Harleen Saini, Joseph N. Tingen, Vaishnavi Sharma, Alexandra Flores, Diang Liu, Michelle Olmos, Ellen D. McPhail, Mina G. Safain, James Kryzanski, Knarik Arkun, and Ron I. Riesenburger
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Aged, 80 and over ,Male ,Amyloid ,Lumbar Vertebrae ,Lumbosacral Region ,Constriction, Pathologic ,Hypertrophy ,Middle Aged ,Magnetic Resonance Imaging ,Ligamentum Flavum ,Spinal Stenosis ,Humans ,Prealbumin ,Female ,Surgery ,Neurology (clinical) ,Aged - Abstract
BackgroundOne key contributor to lumbar stenosis is thickening of the ligamentum flavum (LF), a process still poorly understood. Wild-type transthyretin amyloid (ATTRwt) has been found in the LF of patients undergoing decompression surgery, suggesting that amyloid may play a role. However, it is unclear whether within patients harboring ATTRwt, the amount of amyloid is associated with LF thickness.MethodsFrom an initial cohort of 324 consecutive lumbar stenosis patients whose LF specimens from decompression surgery were sent for analysis (2018-2019), 33 patients met the following criteria: (1) Congo red-positive amyloid in the LF; (2) ATTRwt by mass spectrometry-based proteomics; and (3) an available preoperative MRI. Histological specimens were digitized, and amyloid load quantified through Trainable Weka Segmentation (TWS) machine learning. LF thicknesses were manually measured on axial T2-weighted preoperative MRI scans at each lumbar level, L1-S1. The sum of thicknesses at every lumbar LF level (L1-S1) equals “lumbar LF burden.”ResultsPatients had a mean age of 72.7 years (range 59-87), were mostly male (61%) and white (82%); and predominantly had surgery at L4-L5 levels (73%). Amyloid load was positively correlated with LF thickness (R=0.345, p=0.0492) at the levels of surgical decompression. Furthermore, amyloid load was positively correlated with lumbar LF burden (R=0.383, p=0.0279).ConclusionsAmyloid load is positively correlated with LF thickness and lumbar LF burden across all lumbar levels, in a dose-dependent manner. Further studies are needed to validate these findings, uncover the underlying pathophysiology, and pave the way towards using therapies that slow LF thickening.
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- 2022
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9. Characteristics of Global Neurosurgery Sessions: A Retrospective Analysis of Major International Neurosurgical Conferences
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Vaishnavi Sharma, Myron L. Rolle, Kee Park, Andre E. Boyke, Chibueze D. Nwagwu, Nathan A. Shlobin, Arsene Nyalundja, and Jebet Beverly Cheserem
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2019-20 coronavirus outbreak ,medicine.medical_specialty ,Internationality ,Specialty ,Global Health ,Neurosurgical Procedures ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Global health ,Retrospective analysis ,Humans ,Location ,Retrospective Studies ,Medical education ,Equity (economics) ,business.industry ,Congresses as Topic ,Travel time ,Neurosurgeons ,030220 oncology & carcinogenesis ,Surgery ,Neurology (clinical) ,Neurosurgery ,business ,030217 neurology & neurosurgery - Abstract
Background The global burden of neurosurgical disease is substantial, particularly in low- and middle-income countries (LMICs). Medical conferences are important in connecting those from LMICs to those from high-income countries for support and serve as an educational and networking tool. In this study, we sought to quantitatively assess the incorporation of global neurosurgery topics in international conferences related to the neurosurgical specialty. Methods A database of major international neurosurgical conferences, from the conference of a group of 9 major neurosurgical societies, that had global neurosurgery featured from 2015 to 2020 was created. We then did a retrospective analysis to study the characteristics of these conferences ranging from geographic location to number to different components of the conferences. Results There was an increase in the number of conferences with global neurosurgery since 2015. This, in addition to the occurrence of 3 wholly global neurosurgery-related conferences in recent years, is promising and suggests growth in the field. However, 52.6% of conferences took place in North American or European countries, the majority of which were high-income countries. Furthermore, a majority of the presence of global neurosurgery was in the form of individual talks (54.5%) as opposed to plenaries or sessions. Conclusions The preponderance of conferences in North America and Europe can pose barriers for those from LMICs including travel time, expenses, and visa problems. As global neurosurgery becomes an increasing part of the global health movement, we hope that these barriers are addressed. Conferences may become an even stronger tool to promote equity in neurosurgical education and practice.
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- 2021
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10. N°49 – Motor Facilitation as potential biomarker of UMN dysfunction in ALS
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Nathaniel Pinkes, Spencer Lake Jacobs-Skolik, Vaishnavi Sharma, Mathew Yarossi, Charles J. Heckman, Anne Chu, Sophia Nguyen, Didier Cros, Erica Kemmerling, Eugene Tunik, and Oscar Soto
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Neurology ,Physiology (medical) ,Neurology (clinical) ,Sensory Systems - Published
- 2023
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11. In Reply: Operationalizing Global Neurosurgery Research in Neurosurgical Journals
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Donald Detchou, Lina I. Ibrahim, Marianne I. J. Tissot, Andre E. Boyke, Nathan A. Shlobin, Vaishnavi Sharma, and Myron L. Rolle
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Bibliometrics ,Neurosurgery ,Humans ,Surgery ,Neurology (clinical) ,Periodicals as Topic ,Neurosurgical Procedures - Published
- 2022
12. Portfolio Composition and Valuation Effects in Emerging Market Economies
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Ashima Goyal and Vaishnavi Sharma
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Valuation effects ,05 social sciences ,Monetary economics ,Portfolio composition ,Globalization ,Currency ,0502 economics and business ,Economics ,Position (finance) ,Asset (economics) ,050207 economics ,Emerging market economies ,Emerging markets ,General Economics, Econometrics and Finance ,050205 econometrics - Abstract
The increase in cross-border assets and liabilities of nations with globalization, implies small asset price and currency movements create large wealth changes. The national net external position i...
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- 2018
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13. Letter: Operationalizing Global Neurosurgery Research in Neurosurgical Journals
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Andre E. Boyke, Donald K E Detchou, Nathan A. Shlobin, Myron L. Rolle, and Vaishnavi Sharma
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medicine.medical_specialty ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,medicine ,MEDLINE ,Surgery ,Neurology (clinical) ,Neurosurgery ,Medical emergency ,medicine.disease ,business - Published
- 2021
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