Publications by authors named "Dhaliwal R"

Survival outcomes of patients with heart failure (HF) based on their disease etiology are not well described. Here, we provide one-year mortality outcomes of 10850 patients with HF (mean age = 59.9 years, 31% women) in India.

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Background: A high proportion of patients admitted to hospital are at nutritional risk or have malnutrition. However, this risk is often not identified at admission, which may result in longer hospital stays and increased likelihood of death. The Integrated Nutrition Pathway for Acute Care (INPAC) was developed to provide clinicians with a standardized approach to prevent, detect, and treat malnutrition in hospital.

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Background & objectives Biobanks are crucial for biomedical research, enabling new treatments and medical advancements. The biobank at the Madras Diabetes Research Foundation (MDRF) aims to gather, process, store, and distribute biospecimens to assist scientific studies. Methods This article details the profile of two cohorts: the Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study and the Registry of people with diabetes in India with young age at onset (ICMR-YDR).

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Both trabecular and cortical bone undergo changes at multiple scales. We previously demonstrated the multi-scale changes in trabecular bone quality that contribute to bone fragility in type 2 diabetes (T2D). The link between increased fragility in T2D and multi-scale changes in cortical bone and their interaction with glycation remains unclear.

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Rationale: Early mortality in intracerebral hemorrhage (ICH) is due to hematoma volume (HV) expansion, and there are no effective treatments available other than reduction in blood pressure. Tranexamic acid (TXA) a hemostatic drug that is widely available and safe can be a cost-effective treatment for ICH, if proven efficacious.

Hypothesis: Administration of TXA in ICH patients when given within 4.

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Context: Fracture risk is higher in type 2 diabetes (T2D) for a given bone mineral density (BMD) level. Increased oxidative stress in T2D induces diabetic complications and may affect T2D bone fragility.

Objective: To investigate whether the levels of plasma F2-isoprostanes, a reliable oxidative stress marker, are associated with incident clinical fracture risk in older adults with diabetes.

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Article Synopsis
  • Advanced Glycation End-products (AGEs) were not expected to accumulate in bone, despite being present in long-lived proteins.
  • This accumulation is linked to issues like hyperglycemia and oxidative stress, which disrupt bone resorption and formation, potentially leading to increased bone fragility.
  • Emerging research suggests that measuring, inhibiting, or removing AGEs could offer new diagnostic and treatment options for managing bone fragility related to various health conditions.
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  • Skin conditions are prevalent but poorly managed, especially due to a shortage of dermatologists and unequal healthcare access between urban and rural areas.
  • The objective was to create standard treatment workflows (STWs) for common skin diseases to help healthcare providers at all levels deliver better care.
  • Thirteen modules covering various skin conditions were developed and are now available as posters in health centers and online, aiming to improve the treatment of skin diseases throughout the healthcare system.
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Introduction: The prevalence of youth onset diabetes is rising globally along with a greater burden of complications and mortality in them. The current study was undertaken to examine the mortality and causes of death in patients with youth onset diabetesregistered in a tertiary care hospital in North India.

Methods: We analyzed mortality and causes of death in 1088 patients with youth onset diabetes registered from 2006 to 2019 at University College of Medical Sciences, Delhi.

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Background: Patient-reported outcome measures have been associated with survival in oncology patients. Altered intake and malnutrition are common symptoms for patients treated for head and neck cancer and esophageal cancer (HNC/EC). The purpose of this study was to examine the relationship between patient-reported satisfaction with medical care and nutrition status.

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Background: Gallbladder cancer (GBC) is a common gastrointestinal malignancy noted for its aggressive characteristics and poor prognosis, which is mostly caused by delayed detection. However, the scarcity of information regarding somatic mutations in Indian patients with GBC has hampered the development of efficient therapeutic options. In the present study, the authors attempted to bridge this gap by revealing the mutational profile of GBC.

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Breast cancer (BC) has emerged as the most common malignancy among females. The genomic profile of BC is diverse in nature and complex due to heterogeneity among various geographically different ethnic groups. The primary objective of this study was to carry out a comprehensive mutational analysis of Indian BC cases by performing whole exome sequencing.

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Article Synopsis
  • - Retinoblastoma (RB) is the most common eye cancer in children, and its advanced stages are often seen in low and middle-income countries (LMICs) due to factors like lack of awareness and limited healthcare access.
  • - Significant advancements in treating extraocular retinoblastoma (EORB) have been made, focusing on reducing treatment toxicity through the use of chemotherapy, surgery, and radiotherapy.
  • - The article discusses ICMR consensus guidelines for managing EORB and metastatic RB, highlighting ongoing challenges and the generally poor prognosis in LMICs.
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Article Synopsis
  • Retinoblastoma (RB) is the most common eye cancer in children, but many cases are diagnosed late in low-middle income countries due to a lack of awareness.
  • Recent treatment advancements, like systemic and targeted chemotherapy, have improved outcomes, but their use remains limited in LMICs due to cost and accessibility issues.
  • The article discusses the ICMR consensus guidelines for managing advanced intraocular RB, emphasizing the importance of considering treatment costs, risks, and parental discussions in decision-making.
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Meiosis is a complex variant of the mitotic cell cycle, and as such relies on many of the same proteins involved in mitosis, but utilizes these in novel ways. As in mitosis, Cdk1 and its cyclin partners, Cyclin A, B, and B3 are required at multiple steps in meiosis. Here, we study the effect of stabilized forms of the three mitotic cyclins to study the consequences of failure to degrade the cyclins in meiosis.

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Nutraceutical approaches to promote adipose tissue thermogenesis may help to prevent obesity onset. Creatine is a critical regulator of adipose metabolic function and low-dose lithium supplementation has been shown to promote adipose thermogenesis. In the present study, we sought to directly compare the two supplements for their effects on adipose metabolism and thermogenesis.

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Osteoporosis in men is an underappreciated public health issue, accounting for approximately 30% of the societal burden of osteoporosis. Although the prevalence of osteoporosis in men is lower, fracture-related morbidity and mortality rates exceed those of women. Abaloparatide is a synthetic, 34-amino acid peptide with homology to human parathyroid hormone-related protein (PTHrP), which favors bone formation by selective activation of PTH receptor type 1.

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Article Synopsis
  • - Retinoblastoma (RB) is the leading eye cancer in children, primarily caused by mutations in the RB1 gene and affecting about 8,000 children worldwide each year, with 1,500 cases in India.
  • - The survival rate for RB exceeds 90% in developed countries, with typical symptoms in Indian children being leukocoria (white pupil) and proptosis (bulging eye), diagnosed mainly through fundus exams and ultrasounds.
  • - The review outlines the International Classification of Retinoblastoma for staging, emphasizes the significance of genetic testing for high-risk families, and discusses histopathologic factors that influence treatment decisions and metastasis prediction.
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  • Bone biopsies in postmenopausal women with osteoporosis show that those who had atypical femoral fractures (AFF) had been treated with alendronate for a longer period compared to those without AFF.
  • The study found that AFF patients had lower bone wall thickness and higher osteoclast surface, indicating possible issues with bone microstructure, but similar bone turnover rates between both groups.
  • Atypical femoral fractures in patients using bisphosphonates are more likely to occur after longer treatment durations, highlighting a potential risk factor associated with prolonged antiresorptive therapy.
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Lung cancer is one of the common cancers globally with high mortality and poor prognosis. Most cases of lung cancer are diagnosed at an advanced stage due to limited diagnostic resources. Screening modalities, such as sputum cytology and annual chest radiographs, have not proved sensitive enough to impact mortality.

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Dual-energy X-ray absorptiometry (DXA) is the gold standard method for measuring bone mineral density (BMD) which is most strongly associated with fracture risk. BMD is therefore the basis for the World Health Organization's densitometric definition of osteoporosis. The International Society for Clinical Densitometry (ISCD) promotes best densitometry practices and its official positions reflect critical review of current evidence by domain experts.

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Background: The COVID-19 pandemic necessitated rapid changes to health care delivery, including a shift from in-person to digitally delivered psychotherapy. While these changes helped ensure timely psychotherapy provision, many concerns exist, including clinical, cultural, practical, privacy, and security issues.

Objective: This scoping review systematically mapped existing peer-reviewed research on synchronous, therapist-delivered web-based psychotherapy for individuals with a diagnosed mental illness.

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The excess fracture risk observed in adults with type 1 diabetes (T1D) is inexplicable in the presence of only modest reductions in areal bone mineral density (BMD). Accumulation of advanced glycation endproducts (AGEs) in bone has been invoked as one explanation for the increased bone fragility in diabetes. The evidence linking AGEs and fractures in individuals with T1D is sparse, although the association has been observed in individuals with type 2 diabetes.

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Primary healthcare caters to nearly 70% of the population in India and provides treatment for approximately 80-90% of common conditions. To achieve universal health coverage (UHC), the Indian healthcare system is gearing up by initiating several schemes such as National Health Protection Scheme, Ayushman Bharat, Nutrition Supplementation Schemes, and Inderdhanush Schemes. The healthcare delivery system is facing challenges such as irrational use of medicines, over- and under-diagnosis, high out-of-pocket expenditure, lack of targeted attention to preventive and promotive health services, and poor referral mechanisms.

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