Publications by authors named "AS Dhaliwal"

Background/aims: Accurate assessment of disease activity is crucial for effective management and treatment of ulcerative colitis (UC). This study evaluated the correlation between clinical, endoscopic, and histologic measures of disease activity in UC.

Methods: Clinical, biochemical, endoscopic, and histologic disease activity was studied in 347 patients with UC.

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  • The study focused on patients with osteoarthritis and valgus deformities undergoing kinematically aligned total knee arthroplasty (KA TKA), analyzing factors such as medial collateral ligament (MCL) elongation and ligament releases.
  • It involved 102 patients, confirming that those with tibiofemoral angles greater than 10 degrees of valgus showed no significant MCL elongation or need for constrained components.
  • Patient outcome scores (FJS, OKS, KOOS JR) and satisfaction rates were similar between those with severe valgus deformities (>10 degrees) and those with lesser deformities, indicating low risk for poor results due to MCL elongation.
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Background: Cerebral embolic protection devices (CEPD) capture embolic material in an attempt to reduce ischemic brain injury during transcatheter aortic valve replacement. Prior reports have indicated mixed results regarding the benefits of these devices. With new data emerging, we performed an updated meta-analysis examining the effect of CEPD during transcatheter aortic valve replacement on various clinical, neurological, and safety parameters.

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Introduction: Among Hispanic-American (HA) men, prostatic cancer (PCa) accounts for nearly one-quarter of the total cancer burden. We sought to identify differences in PCa presentation and treatment status for HA subgroups based on country/region of origin.

Material And Methods: Using the National Cancer Database, we identified patients with histologically confirmed prostate adenocarcinoma with reported race/ethnicity, clinical staging, Gleason score ≥ 6, and PSA level at diagnosis from 2010 to 2016.

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The surgical protocols currently used for the treatment of developmental dysplasia of the hip (DDH) are varied, with sufficient differences in clinical outcomes that warrant a review of the role of practicing orthopedic surgeons. This paper aims to summarize the current novel techniques within the realm of surgical treatment for adult DDH, thus serving as a guide to surgeons looking to quickly familiarize themselves with available techniques. We performed computer systematic literature searches of the Embase and PubMed databases from 2010 to 2 April 2022.

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Background/aims: Primary sclerosing cholangitis (PSC) represents the most common hepatobiliary extraintestinal manifestation of inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn's disease (CD). Limited data exist on PSC in patients with IBD from India. We aimed to assess the prevalence and disease spectrum of PSC in Indian patients with IBD.

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Background/aims: The inflammatory bowel disease (IBD)-disk is a validated, visual, 10-item, self-administered questionnaire used to evaluate IBD-related disability. The present study aimed to evaluate IBD-disk in assessment of IBD daily life burden and its relation with disease activity.

Methods: A cross-sectional study was conducted between June 2021 and December 2021.

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Background: Fecal microbiome transfer (FMT) targeting gut microbiome dysbiosis is an emerging therapy for ulcerative colitis (UC). There is however no consensus on protocols for performing FMT in UC, especially in relation to time after donor feces defecation.

Methods: This is a single-center retrospective analysis of patients with moderate-severe UC (total Mayo Clinic score ≥6 and endoscopic Mayo Clinic subscore of ≥2) treated with FMT between September 2017 and December 2019 at Dayanand Medical College and Hospital, Ludhiana, India.

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Background: Approximately 10-62% of patients with primary sclerosing cholangitis (PSC) will develop dominant strictures at some point during their disease. Because of the paucity of available data, optimal endoscopic therapeutic strategies remain unclear. We performed a systematic review and meta-analysis of endoscopic balloon dilation vs.

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Goals/background: Hemospray is a new hemostatic powder recently approved for endoscopic hemostasis in gastrointestinal (GI) bleeding. Data are limited in terms of its clinical outcomes, and its role in the treatment algorithm of GI bleeds. We conducted a systematic review and meta-analysis to study the clinical performance of Hemospray in the management of GI bleeding.

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Background/purpose: There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students.

Methods: Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III questionnaire (for irritable bowel syndrome [IBS], functional diarrhea [FDr], and functional constipation [FC]), and questionnaires assessing demography, physical activity, anxiety, and depression were used.

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Endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA) has limitations of inadequate sampling and false-negative results for malignancy. It has been performed using conventional smear (CS) cytology with rapid on-site evaluation (ROSE) with reasonable diagnostic accuracy. An alternative to ROSE is liquid-based cytology (LBC).

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Despite advances in curative treatments for esophageal cancer, many patients often present with advanced disease. Dysphagia resulting in significant weight loss and malnutrition leads to poor quality of life. Palliative esophageal stenting with self-expanding metal stents (SEMS) helps alleviate symptoms and prolongs survival.

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Fucosidosis is a lysosomal storage disease, resulting from a deficiency of the enzyme alpha-L-fucosidase. We present the case of an affected female with numerous manifestations, clinically and radiographically. In fucosidosis, advanced interventions are not always necessary to have rewarding outcomes.

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  • Pancreatic ductal adenocarcinoma (PDAC) is a really dangerous cancer, with only 9 out of 100 people surviving for 5 years after diagnosis.
  • Pancreatic cystic lesions (PCLs), which are like fluid-filled lumps in the pancreas, can increase the chance of getting this cancer, so doctors need to figure out which ones are harmful.
  • The current methods that use medical images to tell if these lesions are dangerous aren’t good enough, so scientists are looking for better tools that can spot the bad ones and help manage treatment better.
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Intracerebral hemorrhage occurs when a diseased blood vessel within the brain bursts. We present a case of 69-year-old patient with two sequential episodes of lobar intracerebral hemorrhage occurring during sexual intercourse. Both episodes were associated with the use of phosphodiesterase-5 inhibitors.

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Background: Nonalcoholic fatty liver disease (NAFLD) has become the most common form of chronic liver disease in the USA. Interestingly, most patients with NAFLD are unaware of having any liver disease (LD). We aimed to assess the awareness of suspected NAFLD and factors associated with being aware of LD.

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Traumatic brain injury (TBI) is a major health problem in the United States, which affects about 1.7 million people each year. Glial cells, T-cells, and mast cells perform specific protective functions in different regions of the brain for the recovery of cognitive and motor functions after central nervous system (CNS) injuries including TBI.

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Aim: To investigate indications and outcomes of endoscopic retrograde cholangiopancreatography (ERCP) in cirrhotics, especially adverse events. Patients with cirrhosis undergoing ERCP are believed to have increased risk. However, there is a paucity of literature describing the indications and outcomes of ERCP procedures in patients with cirrhosis, especially focusing on adverse events.

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Bio-fabrication of silver nanoparticles, using stem extracts of and their photocatalytic degradation activity, has been undertaken. The synthesized silver nanoparticles are characterized using ultraviolet-visible spectroscopy, Fourier transformed infrared spectroscopy, X-ray diffractometry, Transmission Electron Microscopy, Field Emission Scanning Electron Microscopy, Energy-dispersive X-ray spectroscopy and thermal gravimetric and differential scanning calorimetry analysis. The Surface Plasmon Resonance band detected at 430 nm in the ultraviolet-visible spectrum confirms the formation of silver nanoparticles in the aqueous solution.

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Hepatocellular carcinoma constitutes over 90% of the primary liver tumors, the rest being cholangiocarcinoma. It has an insidious presentation, which is responsible for the delayed presentation. Hence, the management strategy relies on screening to diagnose it an early stage for curative resection and/or treatment with local ablative techniques or chemotherapy.

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Total bremsstrahlung spectral photon distribution generated in thick targets of lead compounds Pb(CHCOO)·3HO, Pb(NO) and PbCl by Sr beta particles has been investigated theoretically and experimentally in the photon energy region 1-10keV. The experimental results are compared with the theoretical models describing ordinary bremsstrahlung and the theoretical model which includes polarization bremsstrahlung into ordinary bremsstrahlung, in stripped approximation. It is observed that the experimental results show better agreement with the model which describes bremsstrahlung in stripped approximation in the energy range 3-10keV.

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In the present paper, the formation of bremsstrahlung spectra by ordinary bremsstrahlung (OB) and polarization bremsstrahlung (PB) in metallic targets by (35)S beta particles has been investigated in the photon energy region of 1-100keV. From the experimental measurements and the theoretical results obtained from Elwert corrected (non-relativistic) Bethe Heitler (EBH) theory, modified Elwert factor (relativistic) (FmodBH) theories for OB and Avdonina and Pratt (FmodBH+PB) theory for total bremsstrahlung (BS) having the contribution of PB into OB, it has been found that the contribution of PB into BS in a target is limited to a low energy region only and also varies with the atomic number of target material. The FmodBH+PB theory is in agreement with the experimental results in low energy regions of the target, whereas at high energy region FmodBH is found to give better agreement.

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