Publications by authors named "J B Pandya"

Hydrocele of the Canal of Nuck is a rare inguinal-scrotal swelling that occurs primarily as a chronic painful lump in childhood or in young women. Here, we present a rare case of the same, presenting at an extreme of age and with a short history. An 85-year-old female patient presented with a progressive inguinal swelling for 2 months in a known case of decompensated cirrhosis of liver in form of ascites and portal cavernoma.

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  • Colorectal Carcinoma (CRC) is increasingly diagnosed in children, with this report focusing on a rare case of a 14-year-old boy who presented symptoms such as constipation, rectal bleeding, and abdominal pain.
  • Diagnostic imaging revealed significant rectal abnormalities, and a biopsy confirmed the presence of Signet Ring Adenocarcinoma, leading to a treatment plan involving neoadjuvant chemotherapy and radiotherapy followed by surgery.
  • The case highlights the urgency for improved CRC screening methods in children and supports the use of chemotherapy and radiotherapy in adolescents, emphasizing that the benefits far surpass the associated risks.
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  • The bacterium responsible for Lyme disease is capable of forming antimicrobial-tolerant biofilms, which help it survive harsh conditions and contribute to severe inflammation, particularly in the heart (Lyme carditis).
  • Researchers used advanced techniques like immunohistochemistry and microscopy to study heart tissues from infected mice, discovering the presence of biofilms and inflammatory markers.
  • The study found that these biofilms not only aggregate in mouse heart tissues but also provoke inflammation, indicating that mice can serve as an effective model for further research on biofilms related to Lyme disease.
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Introduction Ileal perforation due to typhoid is common in tropical countries, and the ensuing secondary peritonitis is treated by resuscitation and surgery. The Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) was developed to predict postoperative outcomes to overcome systemic obstacles in any healthcare setup and is considered fairly accurate. The Portsmouth-POSSUM (P-POSSUM) score was developed as a corrective scoring system for overestimations made by the POSSUM score vis-à-vis mortality.

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Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease of childhood, presenting clinically as inflammatory arthritis in children younger than 16 years. To date, while evidence supports physical activity for children with JIA, there is limited evidence on the recommended approach to physical activity and sports participation in this population, and no single structured therapeutic exercise program has been established as best practice. This review article presents what is known on the management of physical activity in children with JIA, including recommendations from the pediatric rheumatology and rehabilitation literature, where available, for sports participation, structured therapeutic exercise programs, and return to activity.

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