Publications by authors named "N K Ghuman"

Article Synopsis
  • - The study assesses thyroid dysfunction during pregnancy and its effects on maternal and fetal health, revealing a 16.5% prevalence of thyroid disorders among low-risk singleton pregnancies in Western Rajasthan, India.
  • - Subclinical hypothyroidism is the most common disorder (12.5%), leading to increased risks of hypertensive diseases and adverse fetal outcomes like preterm birth and growth retardation.
  • - The findings highlight the need for universal screening for thyroid issues in pregnant women, especially in developing countries where such disorders are prevalent.
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Background: Postpartum hemorrhage (PPH) is an obstetrical emergency that occurs in 1% to 10% of all deliveries and contributes to nearly one-quarter of all maternal deaths worldwide. Tranexamic acid has been established as an adjunct in the treatment of PPH but its role in its prevention of PPH following vaginal delivery has not been widely studied.

Objective: This study aimed to assess the effect of prophylactic tranexamic acid (1 g) along with active management of the third stage of labor in reducing postpartum blood loss and the incidence of postpartum hemorrhage after vaginal delivery.

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Infective endocarditis (IE) is a disease with high morbidity and mortality rate, but diagnosis is confounded by diverse clinical presentations, which mimic other pathologies. A history of illicit intravenous drug use, previous cardiac valve surgery, and indwelling intracardiac devices increases the risk for developing infective endocarditis. The modified Duke criteria serve as the standard diagnostic tool, though its accuracy is reduced in certain cases.

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CT is often the first imaging test in female patients with lower abdominal and pelvic pain because of the wide availability of CT and differential diagnoses that span both gynecologic and gastrointestinal disease. Pathology within the female pelvis may be difficult to diagnose on CT owing to suboptimal delineation of anatomy in comparison to MRI and ultrasound. These challenges are confounded by overlapping imaging features of a wide range of gynecologic entities and can lead to diagnostic dilemmas.

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