Publications by authors named "Jakhar D"

Onychomycosis (OM) is a difficult-to-treat condition, especially considering the limited armamentarium of antifungal drugs, need for prolonged treatment, and poor compliance. This problem is further confounded while treating OM in special populations such as children, elderly, immunosuppressed patients, pregnant or lactating women, and patients with chronic liver or kidney disease. In the absence of standardized treatment guidelines, the antifungal therapy is either withheld or compromised, as it is largely governed by personal preferences or based on anecdotal reports.

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  • Researchers investigated how "brain fog" in post-COVID patients, characterized by cognitive issues and fatigue, relates to abnormal brain activity measured by resting-state EEG (rsEEG).
  • The study included post-COVID participants one year after their infection, many of whom reported fatigue symptoms but did not show cognitive or psychiatric disorders, contrasting them with matched controls who had not experienced COVID.
  • Findings revealed that over 90% of post-COVID participants had no cognitive issues, yet exhibited lower rsEEG alpha activity, particularly among those with more severe fatigue, suggesting a link between abnormal brain rhythms, fatigue, and overall vigilance dysfunction in these individuals.
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Are posterior resting-state electroencephalographic (rsEEG) alpha rhythms sensitive to the Alzheimer's disease mild cognitive impairment (ADMCI) progression at a 6-month follow-up? Clinical, cerebrospinal, neuroimaging, and rsEEG datasets in 52 ADMCI and 60 Healthy old seniors (equivalent groups for demographic features) were available from an international archive (www.pdwaves.eu).

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Background: There has been a significant increase in the incidence of recurrent, resistant, and extensive dermatophyte infections worldwide recently. This menace has spurred the need for more well-designed randomized controlled trials to optimize the treatment of dermatophyte skin infections. One of the limitations in designing such studies is the limited availability of standard and validated score, to measure the severity of dermatophyte infections.

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Post herpetic itch (PHI) is a less commonly reported sequela of herpes zoster. It can begin upon the resolution of the lesions or several weeks later. PHI is neuropathic in nature and is said to be caused by neural injury in the form of demyelination of itch-transmitting nerve fibers in the skin.

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  • The study examines how the reactivity of alpha rhythms in the brain changes when moving from eyes-closed to eyes-open conditions, specifically comparing patients with Parkinson's disease dementia (PDD) and Alzheimer's disease dementia (ADD).
  • Researchers analyzed data from 73 PDD patients, 35 ADD patients, and 25 healthy individuals, discovering that 88% of healthy participants showed significant reactivity compared to only 35% of PDD patients.
  • The findings indicate that PDD patients have reduced ability to adjust their brain activity in response to visual stimuli, highlighting a potential neurophysiological marker that could be targeted in treatments aimed at improving attention in these patients.
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Background & Aims: Lymphatic vessels (LVs) are crucial for maintaining abdominal fluid homoeostasis and immunity. In cirrhosis, mesenteric LVs (mLVs) are dilated and dysfunctional. Given the established role of vascular endothelial growth factor-C (VEGF-C) in improving LVs, we hypothesised that VEGF-C treatment could ameliorate the functions of mLVs in cirrhosis.

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Onychomycosis (OM) is the commonest cause of dystrophic nails, responsible for upto 50% of cases. Apart from significantly damaging the nails, quality of life, and self-image of the sufferer, it also acts as a reservoir of fungal infections carrying important implications for emerging recalcitrant dermatophytoses. Treatment of OM is based on guidelines released almost a decade back, in addition to published literature and personal preferences.

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Decreasing greenhouse gas (GHG) emissions and enhancing soil carbon (C) sequestration in cropland are necessary to achieve carbon neutrality at national scale. The major objective of this study is to quantify the GHG mitigation potential of adopted climate resilient (CR) practices in CR villages using Ex-ACT tool developed by Food and Agriculture Organization (FAO). Intensively cultivated area of Punjab and Haryana was selected for carrying out this study.

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Obesity is a metabolic disease, which is one of the major causes of morbidity and mortality, where therapeutic options are limited. Treatment of obesity is necessary as it is associated with fatal complications like diabetes mellitus, cardiovascular disease, non-alcoholic fatty liver disease, osteoarthritis, and many more. Liraglutide (Lir), a synthetic analogue of Glucagon-like Peptide-1 (GLP-1), is the FDA approved anti-obesity drug, however, its major limitation is its clinical application which needs frequent parenteral injections.

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We have seen that radiological techniques like digital x-ray, high-frequency ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI) have their unique roles in assessing a complex anatomical structure like the nail unit. Broadly speaking, USG and MRI help evaluate soft tissue components well; while, radiographs and CT scans help assess bony lesions better. In the second part of this review, salient radiological features of various nail disorders, as seen on these modalities are detailed.

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The nail unit is a unique skin appendage, capable of mounting only a limited number of reaction patterns to a variety of insults. This makes it difficult to diagnose many nail conditions based on clinical features alone. Thus, diagnostic modalities have an important role to play in nail disorders.

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Background: With the COVID-19 vaccination taking stride all across the globe, there are multiple reports of vaccine-induced adverse reactions (cutaneous and systemic).

Objectives: To study the frequency and characteristics of mucocutaneous reactions to COVID-19 vaccines.

Methods: An online questionnaire-based study was performed among the recipients of COVID-19 vaccines.

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  • Tuberculosis (TB) remains a major global health challenge, with cutaneous tuberculosis (CTB) being a rare but often overlooked form, comprising 0.5-2% of extrapulmonary TB cases.
  • A 22-year study of 1,458 Indian patients revealed that lupus vulgaris was the most common variant, with high rates of coexisting systemic TB foci in lymph nodes, lungs, and bones, and an overall favorable treatment response of 99.2% to standard antitubercular treatment.
  • Increased awareness and understanding of CTB's diverse presentations among healthcare providers is crucial for improving early diagnosis and preventing complications in affected patients.
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Malassezia folliculitis is an under-recognized entity commonly affecting the face and upper trunk. Clinical picture mimics acne vulgaris and diagnosis is challenging at times. Ten percent potassium hydroxide examination is usually performed to confirm the diagnosis.

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Malassezia folliculitis is an under-recognizedentity commonly affecting the face and upper trunk. Clinical picture mimics acne vulgaris and diagnosis is challenging at times. 10% potassium hydroxide examination is usually performed to confirm the diagnosis.

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  • Cutaneous tuberculosis treatments are effective, but issues like delayed diagnosis, drug-resistant strains, and HIV co-infection complicate control efforts.
  • Improving recognition of symptoms among dermatologists and using proper diagnostic tests can help address delays.
  • Confirming cutaneous tuberculosis usually requires histopathology and culture, and sometimes, an antituberculosis treatment trial may be necessary for diagnosis.
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Use of a facial mask is a necessity during the current pandemic. The associated occlusion with extended daily use can lead to physiological changes in the skin with resultant irritation, itching, and infections. This can lead to exacerbation of pre-existing dermatoses or induction of irritant dermatitis or bacterial folliculitis.

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The application of a dermoscope in the study of mucosal pathologies is increasingly gaining importance. An easy, noninvasive characterization of pathological changes serves as an aid to dermatologists, sometimes even obliviating the need for histopathology. The aim of the present case series was to describe the mucoscopic features of histologically proven oral leukoplakia.

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