Publications by authors named "Garg L"

Atrial fibrillation (AF) is the leading cause of arrhythmia-related morbidity and mortality. Recurrent symptoms, hospitalizations, and cost burden to patients have necessitated treatments beyond antiarrhythmic drugs (AADs) for patients with AF. Catheter ablation has proven to be effective over medical therapy alone; however the recurrence rates for atrial tachyarrhythmias post-ablation remain significant, particularly in patients with persistent and long-standing persistent AF.

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Background: Myotonic dystrophy type 1 (DM1) is associated with progressive conduction disease. Furthermore, DM1 patients are at risk ventricular arrhythmias (VAs), although prediction remains difficult. The 2022 Heart Rhythm Expert Consensus Statement gives a IIb recommendation to the use of electrophysiology study (EPS) to risk-stratify patients for VAs.

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The development of selective and practically applicable sensors for monitoring trace uranyl ions (UO) in an aqueous medium is the biggest challenge. This study presents the development of a conjugated oligoelectrolyte-based probe (COE) for the selective detection of UO ions in water bodies. The COE is a water-soluble probe having an organic backbone with two ionic pendants at the terminal points.

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  • Maternal mortality rates in Kenya are alarming, with 342 deaths per 100,000 live births, largely due to postpartum hemorrhage (PPH), which accounts for 40% of these deaths and is the leading cause globally, especially in poorer countries.* -
  • Primary health care facilities (PHCs) play a vital role in managing PPH, but face challenges like being poorly equipped and having ineffective referral systems, which complicates timely care delivery.* -
  • The study highlights that structural issues aren't the only problem; poor collaboration and communication between healthcare providers also hinder effective referral processes, suggesting a need for improved training and strategic interventions to enhance emergency response in maternal health.*
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Background: The adulteration of milk is an important issue that needs to be addressed because of its deleterious effects on health. Detection of adulterants in milk can be done in laboratories or by purchasing adulteration detection kits. There are few home-based rapid tests to detect common milk adulterants, which are less known by our community.

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Aim: To study the inhibition potential of antibody against a recombinant chimera comprising of the catalytic epitope of gp63 of and B subunit of heat-labile enterotoxin (LTB) in the functional activity of L. donovani.

Background: Visceral leishmaniasis, caused by the protozoan parasite , is a major health problem and causes mortality in tropical regions.

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Background: Cardiac implantable electronic device (CIED) procedures can cause significant postoperative pain. Opioid use for postoperative pain is associated with risk of persistent use. The benefits of pectoral nerve (PECs) blocks have been established for other chest wall surgeries, but adoption in electrophysiology has been limited.

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Background Cervical cancer ranks among the top five cancers in India, with human papillomavirus (HPV) types 16 and 18 causing up to 70% of related lesions. HPV infection, acquired through various routes, poses risks for both men and women, especially in the age group of 16 to 25 years. Effective prevention is possible through HPV vaccination, with Cervarix and Gardasil approved for use in India.

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Background: Identification of patients at risk for atrial fibrillation (AF) after typical atrial flutter (tAFL) ablation is important to guide monitoring and treatment.

Objective: The purpose of this study was to create and validate a risk score to predict AF after tAFL ablation METHODS: We identified patients who underwent tAFL ablation with no AF history between 2017 and 2022 and randomly allocated to derivation and validation cohorts. We collected clinical variables and measured conduction parameters in sinus rhythm on an electrophysiology recording system (CardioLab, GE Healthcare).

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Amyotrophic Lateral Sclerosis (ALS) is a relentlessly progressive and fatal disease, caused by the degeneration of upper and lower motor neurons within the brain and spinal cord in the ageing human. The dying neurons contain cytoplasmic inclusions linked to the onset and progression of the disease. Here, we use a Drosophila model of ALS8 (VAP) to understand the modulation of these inclusions in the ageing adult brain.

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  • The study focuses on the usage of endoscopic retrograde cholangiopancreatography (ERCP) in pediatric patients in India, analyzing data from January 2017 to December 2022.
  • A total of 150 pediatric patients were identified, with common conditions being chronic pancreatitis and choledocholithiasis, reporting high technical success rates of 94.3% for pancreatic cases and 95.2% for biliary cases.
  • The research concludes that ERCP is a safe and effective procedure for children, although complications like acute pancreatitis can occur, primarily in the context of pancreatic ERCP.
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  • A study on arrhythmogenic right ventricular cardiomyopathy (ARVC) found that a significant number of patients (34%) experienced atrial arrhythmias (AAs) even after undergoing ventricular tachycardia (VT) ablation.
  • The most common types of AAs were atrial fibrillation, typical atrial flutter, and atypical flutter, with many patients requiring further ablation procedures to manage these issues effectively.
  • A risk score was developed to predict the likelihood of typical atrial flutter, which can help identify patients who might benefit from specific interventions during VT ablation.
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Introduction: Bilateral femoral neck fracture in children is uncommon and is extremely rare in the absence of significant injury or any underlying systemic and local bone disease. Diagnosis in these healthy children is usually delayed due to the presence of mild symptoms and lack of suspicion for a fracture.

Case Report: We report a case of 13-year-old girl with a bilateral neck of femur fracture without any history of trauma or any underlying systemic or local disease.

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Background: Cardiac stereotactic body radiotherapy (SBRT) has emerged as a promising noninvasive treatment for refractory ventricular tachycardia (VT).

Objective: The purpose of this study was to describe the safety and effectiveness of SBRT for VT in refractory to extensive ablation.

Methods: After maximal medical and ablation therapy, patients were enrolled in a prospective registry.

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  • The study aimed to create an easy-to-use scoring system to assess the risk of needing a permanent pacemaker (PPM) after transcatheter aortic valve replacement (TAVR).
  • Atrial block, a common issue related to TAVR, prompted the need for a more clinically applicable risk prediction model, as existing models weren't suitable for pre-procedure planning.
  • The resulting PRIME score was developed using five key pre-procedure variables and demonstrated high accuracy in predicting PPM needs in both training and validation groups.
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  • Entrainment and standard pacing techniques are often ineffective in identifying critical components of ventricular tachycardia (VT) in patients with dense myocardial scarring.
  • This study evaluated the effectiveness of very high-output pacing (V-HOP), which uses higher power (50 mA) to stimulate heart tissue, for locating these critical areas when standard methods failed.
  • Results showed V-HOP successfully identified critical components in most patients and guided effective ablation procedures, leading to a high success rate without serious complications.
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  • The COVID-19 pandemic changed how we think about health and safety, especially using masks.
  • The paper talks about "mask mirroring," where doctors wear masks like their patients to show respect and build trust.
  • This approach helps create a safer healthcare environment, showing empathy and making patients feel comfortable while getting care.
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As the atrial fibrillation (AF) recurrence rate remains high after pulmonary vein isolation (PVI), additional left atrial posterior wall isolation (PWI) has been studied in randomized controlled trials, however, the results are conflicting. We performed an updated meta-analysis by searching online databases for the randomized controlled trials comparing the PWI + PVI group to the PVI alone group in patients with AF. The outcomes of interest were AF recurrence, all atrial arrhythmia recurrence, and atrial flutter/atrial tachycardia (AT) recurrence.

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  • The study analyzed data from over 52,000 patients diagnosed with atrial fibrillation between 2010 and 2020 to determine the best rhythm-management strategies for individuals.
  • Researchers utilized a form of artificial intelligence called tabular Q-learning to predict optimal treatments based on outcomes such as mortality and treatment sustainability, while also clustering patients into distinct groups for better analysis.
  • Findings revealed that rhythm-control strategies led to better outcomes than rate-control strategies, particularly when the treatment matched the Q-learning recommendations, indicating a promising method for improving clinical decision-making in atrial fibrillation management.
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Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in Kenya. The aim of this study was to measure quality and timeliness of care for PPH in a sample of deliveries in referral hospitals in Kenya. We conducted direct observations of 907 vaginal deliveries in three Kenyan hospitals from October 2018 through February 2019, observing the care women received from admission for labor and delivery through hospital discharge.

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Background: Neonatal deaths contribute to nearly half (47%) of under-five mortality globally and 67% in Bangladesh. Despite high neonatal mortality, care-seeking from qualified providers for newborn danger signs remains low. Identification of direct and indirect factors and their pathways affecting care-seeking will help to design a well-targeted intervention.

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