Publications by authors named "Bhalla A"

Importance: Reducing the burden of stroke is a public health priority. While higher stroke incidence among ethnic minority populations (defined in the context of this study as individuals who are not White) is well established, reports on ethnic inequalities in care or outcomes are conflicting and often limited to hospital-admitted patients and short-term outcomes.

Objective: To investigate ethnic differences in stroke care and outcomes up to 5 years after stroke and describe temporal trends and contributory factors.

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A series of multi-target organoselenides 3a-h has been synthesized with the advantages of a simple operation, and good yields of 66-89 % escorted by mechanistic enlightenment. The compounds 3b, 3c continued to exist as orthorhombic and trigonal, whereas 3d exist as monoclinic confirmed by the X-ray crystallography. Organoselenides 3c and 3f displayed the highest % radical scavenging potential with % inhibition of 98.

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Measles or rubeola is caused by an enveloped single-stranded RNA virus belonging to the genus Morbillivirus in the Paramyxoviridae family. Here, we present five adult measles patients. The laboratory confirmation of measles by serology/polymerase chain reaction (PCR) was carried out in the National Measles Laboratory as per WHO standard operating procedure at the Department of Virology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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Objective: Traditional training and teaching have advised against mixing varying metal types to avoid the potential for in vivo galvanization and corrosion. The objective of this study was to retrospectively analyze patients who have undergone operative reconstruction with mixed metal (MM) constructs to report any related complications.

Methods: Design: Retrospective case series.

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Malignant transformation of neurofibromas into malignant peripheral nerve sheath tumors (MPNST) is a rare but aggressive phenomenon, particularly in the head and neck region, and is associated with a poor prognosis. The primary treatment modality is surgical excision, often followed by radiotherapy. This is a case report of MPNST in the neck, with long-term follow-up.

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Neural epidermal growth factor-like 1 (NELL-1) is responsible for a substantial proportion of cases of PLA2R-negative primary membranous nephropathy (MN). To investigate the occurrence, association, and treatment responses, we carried out this ambispective study. In the study, nine (10%) of all patients with MN at our center were found to be NELL-1 positive.

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Aims: To study the pattern of physical growth and pubertal changes in adolescent girls with Systemic Lupus Erythematosus (SLE).

Methods And Material: Weight, height, BMI, waist and hip circumference among 50 adolescent SLE girls (aged 8-17 years) were cross-sectionally studied using standardized techniques and instruments. Breast development stage, presence or absence of pubic and axillary hair and age of attainment of menarche were also noted.

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  • Inflammatory bowel disease (IBD) significantly impacts patient health, with recent studies linking sarcopenia (muscle loss) to decreased quality of life and poor clinical outcomes.
  • An analysis of over 1.5 million hospitalizations showed that patients with sarcopenia had higher rates of in-hospital mortality (4.2% vs. 1.2%), ICU admissions, and required more surgeries compared to those without sarcopenia.
  • The study concludes that managing sarcopenia is essential for improving health outcomes in IBD patients, as it was associated with a nearly threefold increase in the risk of dying during hospitalization.
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  • Malignant peripheral nerve sheath tumors (MPNSTs) show altered DNA methylation patterns, suggesting these changes could be used as specific biomarkers for NF1 patient screening.
  • Researchers conducted a study involving DNA methylation profiling from tumor and adjacent tissue samples of 13 MPNST patients, finding 73 candidate CpGs that could distinguish MPNSTs from neurofibromas.
  • Five validated biomarkers demonstrated high sensitivity and specificity in tissue detection, and higher methylation levels were observed in plasma tests, indicating potential for early detection of MPNST in NF1 patients.
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Bungarus (krait) envenomings are well-known for their life-threatening neurotoxic effects. However, their impact on coagulation remains largely unexplored experimentally or clinically. This study, examined the effect of begins to examine venoms from four Bungarus species-B.

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  • - This study examines how COVID-19 affects cancer patients' risk of death within 30 days of hospitalization, finding that specific types of cancer significantly elevate this risk.
  • - Among 51,544 hospitalized COVID-19 patients, 976 had cancer; solid cancers had a particularly high mortality rate of 25%.
  • - The research emphasizes the importance of tailored monitoring and treatment for COVID-19 patients with cancer, especially during the first 10 days of hospitalization, as this is when the risk of severe outcomes is greatest.
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Owing to their inherent resistance to different classes of antifungals, early identification of Fusarium spp. is crucial. In this study, 10 clinical isolates were included from patients with invasive fusariosis involving lungs, sinuses, or both.

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  • Snakebite envenoming (SBE) causes over 500,000 deaths or serious injuries annually, and a phase II clinical trial was conducted to evaluate the safety and efficacy of varespladib methyl, an oral treatment, in patients bitten by venomous snakes.
  • The trial, which was double-blind and placebo-controlled, enrolled patients in emergency departments in the USA and India, assessing changes in severity of snakebite symptoms using the Snakebite Severity Score (SSS) after treatment.
  • Results indicated no significant difference in SSS improvement between the varespladib and placebo groups overall, but early treatment (within 5 hours of the bite) showed potential benefits in illness severity and recovery outcomes.
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  • The study aimed to identify treatment endpoints for necrotizing otitis externa (NOE) and examine the relationship between inflammatory markers (ESR and CRP) and disease status.
  • Conducted over two years with 28 patients, the research found a strong agreement between clinical improvement and PET-scan results, indicating that treatment termination can be guided by symptom relief.
  • Although inflammatory markers declined with clinical resolution, they did not return to normal levels, suggesting that while symptoms may improve, underlying inflammation could persist.
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  • * A study demonstrates that metallothionein (MTH) immunohistochemistry (IHC) is a highly effective diagnostic method for WD, showing high sensitivity (91.20%) and perfect specificity (100%) in a cohort of 91 patients compared to control samples.
  • * MTH IHC could serve as a cost-effective and reliable screening tool for diagnosing WD in patients of different ages and disease stages, enhancing patient evaluation and management.
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  • - The study investigates why women, particularly mothers and wives, tend to be more prevalent as living kidney donors, highlighting the need to consider relational, community, and socio-cultural factors in decision-making rather than just individual motivations.
  • - A systematic review of 16 studies from 13 countries revealed minimal differences in individual motives between male and female donors, but significant variations were found in relational, community, and socio-cultural influences, such as family dynamics and societal norms.
  • - The findings indicate that gender disparities in living kidney donation stem from complex interconnections among various factors, suggesting the necessity of addressing systemic contributors to gender inequities to promote more balanced donation practices.
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  • Monitoring respiratory effort in ventilated children is crucial for lung protection, with esophageal pressure as the gold standard, but it's not commonly used; P0.1 serves as a more accessible alternative with limitations in correlation.
  • The study analyzed data from 222 pediatric patients to identify factors that might cause P0.1 to inaccurately estimate respiratory effort, using logistic regression models to categorize various breathing phenotypes.
  • Findings showed that while most patients had aligned measures of effort, a significant minority (12%) underestimated their respiratory effort due to factors like increased airway resistance and opioid use, indicating potential risks in managing ventilation.
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  • In March 2020, the White House Coronavirus Task Force identified the need for expert treatment guidelines for managing COVID-19 due to its life-threatening nature and lack of known effective treatments.
  • The NIH was tasked with quickly assembling a panel of experts to create "living" guidelines, which would be regularly updated as new information about the virus emerged.
  • The article reflects on the Panel's experiences over four years, summarizes its final recommendations, discusses ongoing challenges, and notes that the responsibility for COVID-19 guidelines will now shift to professional organizations following the end of the public health emergency.
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We present the case of a young female with fever, rash, and joint pain without any other history of connective tissue disorder, who was found on evaluation to have neutrophilic leucocytosis, elevated inflammatory markers and lymphadenopathy with hepatosplenomegaly. After extensive workup, the possibility of adult onset Still's disease was suggested by Yamaguchi criteria. She was started on naproxen, but later on developed drug-induced liver injury.

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Hepatitis C virus (HCV) has emerged as a major global health concern and, if left untreated, can lead to significant liver damage, including cirrhosis, decompensated liver disease, and hepatocellular carcinoma (HCC). Approximately 40% of patients with HCV infection experience extrahepatic manifestations, including renal involvement. HCV-related renal disease is of significant importance among patients with chronic kidney disease (CKD), leading to higher morbidity and mortality.

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  • The study investigates the relationship between skin pigmentation changes in systemic sclerosis and the severity of cutaneous sclerosis as well as internal organ involvement.
  • It found that patients with pigmentary alterations had significantly higher modified Rodnan skin scores, indicating more severe skin involvement.
  • While most patients had lung complications, those with skin pigmentation exhibited lower scores on high-resolution CT scans, suggesting a complex interaction between skin changes and organ health.
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A hospital-based longitudinal observation study was conducted to determine the auxological dynamics of Cephalic Index (CI) and corresponding head shape among 1125 children with Down syndrome. Majority (88% males, 82% females) displayed brachycephaly.

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