Publications by authors named "Kundan Jana"

Article Synopsis
  • Acute renal infarction (ARI) is a rare condition that often goes undiagnosed due to nonspecific symptoms; diagnosis mainly relies on imaging techniques.
  • A retrospective study analyzed 85 hospitalized ARI patients from 2010 to 2022, focusing on their backgrounds, with a significant prevalence of cardiovascular causes, particularly atrial fibrillation.
  • The study found smokers faced a higher risk of ARI, and nearly half of the patients who developed it were on blood-thinning medications, highlighting the need for vigilance even in those taking anticoagulants.
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Patients with end-stage renal disease (ESRD) have a five times higher risk of gastrointestinal bleed (GIB) and mortality than the general population. Aortic stenosis (AS) has been associated with GIB from intestinal angiodysplasia. In this retrospective analysis, we obtained data from the 2012 and 2019 National Inpatient Sample.

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Background: The SARS-CoV-2 virus caused the global COVID-19 pandemic, with waxing and waning course. This study was conducted to compare outcomes in the first two waves, in mechanically ventilated patients.

Methods: This retrospective observational study included all mechanically ventilated COVID-19 patients above 18 years of age, between March 2020 and January 2021.

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Postoperative polyuria due to diabetes insipidus (DI) is commonly reported complication of pituitary surgery. However, central DI postabdominal surgery is rare and related to unmasking of pre-existing DI or prolonged surgery with significant intraoperative blood loss. A thorough workup needs to be performed to exclude central DI in such patients.

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Acute renal infarction is a rare and often underdiagnosed condition with estimated incidence of 0.5-1.5%.

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Article Synopsis
  • Hyperkalemic paralysis in acute renal failure can obscure the diagnosis of adrenal insufficiency, as elevated potassium levels can often be attributed to kidney issues.
  • The case of a 37-year-old male who presented with hyperkalemic paralysis and acute renal failure highlights that adrenal crisis can lead to kidney injury, which is rarely documented.
  • After confirming adrenal insufficiency through inappropriate cortisol levels and other hormonal imbalances, the patient received steroid therapy and successfully recovered; proper treatment compliance was emphasized to prevent future crises.
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BACKGROUND Pregnancy causes a physiological increase in renal blood flow and glomerular filtration rate, which leads to a transient increase in urinary protein excretion. Up to 300 mg/d proteinuria is known to occur in pregnancy due to physiological changes. Proteinuria of greater than 3 g/d is categorized as being within the nephrotic range, and the most common cause of nephrotic range proteinuria in the later stages of pregnancy is preeclampsia.

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A 36-year-old primigravida female from a birthing center was referred for elevated blood pressure to the hospital two days after normal spontaneous vaginal delivery with nausea, vomiting, and diarrhea. During this two-day period, she was experiencing persistent vaginal bleeding and lower abdominal pains for which she took six doses of 600 mg ibuprofen. Further laboratory evaluation reflected leukocytosis, anemia, thrombocytopenia, elevation of liver enzymes, and renal failure with hyperkalemia requiring emergent hemodialysis once in the Medical Intensive Care Unit (MICU).

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ATP-sensitive K (K) channels uniquely link cellular energy metabolism to membrane excitability and are expressed in diverse cell types that range from the endocrine pancreas to neurons and smooth, skeletal, and cardiac muscle. A decrease in the surface expression of K channels has been linked to various disorders, including dysregulated insulin secretion, abnormal blood pressure, and impaired resistance to cardiac injury. In contrast, up-regulation of K channel surface expression may be protective, for example, by mediating the beneficial effect of ischemic preconditioning.

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Background: Two genetic variants in SCN5A, encoding the Nav1.5 Na channel α-subunit, were found in a 5-month-old girl who died suddenly in her sleep. The first variant is a missense mutation, resulting in an amino acid change (Q1832E), which has been described (but not characterized) in a patient with Brugada syndrome.

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Myocardial ischemia remains the primary cause of morbidity and mortality in the United States. Ischemic preconditioning (IPC) is a powerful form of endogenous protection against myocardial infarction. We studied alterations in KATP channels surface density as a potential mechanism of the protection of IPC.

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