Publications by authors named "Goyal K"

Chronic kidney diseases (CKD) are a group of multi-factorial disorders that markedly impair kidney functions with progressive renal deterioration. Aging contributes to age-specific phenotypes in kidneys, which undergo several structural and functional alterations, such as a decline in regenerative capacity and increased fibrosis, inflammation, and tubular atrophy, all predisposing them to disease and increasing their susceptibility to injury while impeding their recovery. A central feature of these age-related processes is the activation of the p53/p21 pathway signaling.

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Human paraoxonase 1 (hPON1) is a Ca2+-dependent metalloenzyme with multifunctional properties. Due to its diverse roles as arylesterase, phosphotriesterase, and lactonase, it plays a significant role in disease conditions. Researchers across the globe have demonstrated different properties of PON1, like anti-oxidant, anti-inflammatory, anti-atherogenic, anti-diabetic, and OPneutralization.

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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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Several molecular strategies based on targeted gene delivery systems have been developed in recent years; however, the CRISPR-Cas9 technology introduced a new era of targeted gene editing, precisely modifying oncogenes, tumor suppressor genes, and other regulatory genes involved in carcinogenesis. However, efficiently and safely delivering CRISPR-Cas9 to cancer cells across the cell membrane and the nucleus is still challenging. Using viral vectors and nanoparticles presents issues of immunogenicity, off-target effects, and low targeting affinity.

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Pancreatic cancer is a highly fatal malignancy due to poor early detection rate and resistance to conventional therapies. This review examines the potential for liquid biopsy as a transformative technology to identify diagnostic and therapeutic targets in pancreatic cancer. Specifically, we explore emerging biomarkers such as exosomal non-coding RNAs (ncRNAs), circulating tumor DNA (ctDNA), and circulating tumor cells (CTCs).

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Purpose: The study aims to investigate an outbreak of acute haemorrhagic conjunctivitis (AHC) reported in North India.

Methods: All patients presenting to the outpatient clinic department with signs and symptoms (symptoms onset within 36 h) of AHC were enrolled in the study. The conjunctival swab samples were tested for the presence of enteroviruses and adenoviruses.

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CAR T cell therapy has revolutionized how we deliver cancer treatment, most notably for hematologic cancers, by compelling T cells to recognize and kill tumor cells. Nevertheless, current obstacles to utilizing this therapy in solid tumors and overcoming cancer resistance include radicalization. This review discusses how CD95 modulation can boost CAR T cell efficacy.

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Background: Working with deceased human bodies to advance anatomical knowledge as part of orthopedic residency programs is critical to improving clinical skills. Formalin-preserved donors are routinely used but don't retain similar features to patients. This study compares Imperial College London- soft preserved (ICL-SP) donors to standard formalin-preserved donors in teaching anatomy to orthopedic residents.

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Article Synopsis
  • - Oligodendrogliomas (ODGs) are unique brain tumors that require tailored treatment plans due to their distinct molecular characteristics, with non-coding RNAs (ncRNAs) playing a key role in their development and response to therapy.
  • - The review explores the genetic profile of ODGs and highlights how ncRNAs, including microRNAs and long non-coding RNAs, are involved in tumor growth and can serve as biomarkers and treatment targets for more effective therapies.
  • - While using ncRNAs in clinical settings shows promise for improving diagnostics and personalized treatments for ODGs, challenges such as delivery efficiency and potential side effects need to be addressed to fully realize their clinical benefits.
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Background Cataract is the leading cause of blindness globally, particularly in India. Despite advancements in surgical techniques, postoperative complications remain common, with posterior capsular opacification (PCO) being the most frequent issue. Although neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy is recommended for managing PCO, it is associated with various side effects.

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  • Social media, while a key tool for sharing health information, often spreads misinformation; this study presents a framework for producing reliable videos on polycystic ovary syndrome (PCOS) and thyroid conditions to enhance health literacy.
  • * The study involved creating and sharing peer-reviewed short videos across various platforms and aimed to understand their impact and audience engagement, using a structured process called SIMBA-CoMICs.
  • * A total of 20 videos were produced by medical students, evaluated for content accuracy, and monitored for engagement metrics over two months, along with interviews to gather insights from the creators.
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  • Hospital-acquired infections are the most frequent non-cardiac complications following cardiac surgery, with common pathogens including Klebsiella spp, Escherichia coli, and Staphylococcus aureus.
  • The case presented involves a post-cardiac surgery patient who developed a bloodstream infection caused by Stenotrophomonas maltophilia, requiring a combination treatment of ceftazidime-avibactam and aztreonam.
  • The study emphasizes the importance of collaboration between physicians and microbiologists to effectively manage such complex infections.
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Background Vascular endothelial growth factor (VEGF) is a powerful mitogen for endothelial cells that promotes migration, proliferation, and tube formation necessary for the angiogenic development of new blood vessels. When VEGF increases significantly, it causes pathological angiogenesis and increased vascular permeability in eye conditions such as diabetic retinopathy (DR), age-related macular degeneration (AMD), and retinal vein occlusion (RVO). These disorders have become important global sources of morbidity and have a substantial financial impact not only on the medical community but also on the patients.

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Objective: To evaluate the improvement of pain and function after cervical transforaminal epidural steroid injections (CTFESI) for radicular pain.

Design: This is a retrospective observational study of patients receiving fluoroscopically-guided cervical transforaminal epidural steroid injections under a single provider at a tertiary referral center from December 2013 to December 2020. Primary outcome measures were Numeric Rating Scale (NRS), patient reported percent of pain relief, the Patient Health Questionnaire, the Patient Reported Outcome Measurement Information System (PROMIS) Global Health Physical and Mental Health score, and the Pain Disability Questionnaire.

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Background Diabetes mellitus is one of the most important and common chronic diseases worldwide and is expected to increase in prevalence. Diabetic retinopathy (DR) is one of the most prevalent microvascular sequelae of diabetes mellitus (DM), and ischemic heart disease is a macrovascular sequela. This study was conducted to find out the relation between the degree of DR and ischemic heart disease severity in Indian patients.

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A 39-year-old male patient presented to the outpatient department (OPD) with chief complaints of outward deviation of the right eye (RE) since six months of age, associated with a diminution of vision in the same eye since childhood. He had a history of spectacle use for distance for the past eight years. He was thoroughly evaluated in the OPD and diagnosed with RE high myopia with sensory exotropia.

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Non-invasive monitoring of pulmonary health may be useful for tracking several conditions such as COVID-19 recovery and the progression of pulmonary edema. Some proposed methods use impedance-based technologies to non-invasively measure the thorax impedance as a function of respiration but face challenges that limit the feasibility, accuracy, and practicality of tracking daily changes. In our prior work, we demonstrated a novel approach to monitor respiration by measuring changes in impedance from the back of the thigh.

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Article Synopsis
  • Chronic low back pain (cLBP) is a leading cause of disability, making it essential to pinpoint the underlying anatomical issues for effective treatment.
  • The causes of cLBP are diverse, ranging from non-degenerative factors like trauma and inflammation to degenerative conditions that require careful evaluation to rule out serious underlying issues.
  • The article outlines a systematic approach for clinicians by categorizing the potential structures involved in cLBP, offering insights into diagnostic methods and treatment options for each condition.
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Sudden transient loss of vision after an acute bout of alcohol consumption in patients with chronic alcoholism is rare. The underlying mechanism is a transient depression of the endothelial pump due to ethanol toxicity following a large amount of alcohol consumption in chronic alcoholic patients. Here, we report a rare case of a 60-year-old male patient who came to the outpatient department with complaints of sudden loss of vision associated with redness following a large amount of alcohol consumption.

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This study presents the development and evaluation of an innovative intelligent garment system, incorporating 3D knitted silver biopotential electrodes, designed for long-term sports monitoring. By integrating advanced textile engineering with wearable monitoring technologies, we introduce a novel approach to real-time physiological signal acquisition, focusing on enhancing athletic performance analysis and fatigue detection. Utilizing low-resistance silver fibers, our electrodes demonstrate significantly reduced skin-to-electrode impedance, facilitating improved signal quality and reliability, especially during physical activities.

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Article Synopsis
  • Brucellosis, although primarily affecting various organs, rarely leads to cardiovascular issues, typically appearing as endocarditis in under 2% of cases.
  • A 50-year-old male patient experienced severe symptoms over six months, including fever, weight loss, and heart murmurs, leading to a diagnosis of cardiac involvement due to Brucellosis.
  • The case highlights the importance of early detection and treatment to reduce the risks of complications like heart block and improve patient outcomes.
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