Publications by authors named "Pannu A"

We describe a novel technique for recurrent pterygium and assess the advantage of properties of extended tenonectomy, amniotic membrane transplantation, and limbal epithelial transplantation in terms of recurrence rate, postoperative symptoms, postoperative orthoptics, and other complications. A total of nine eyes with recurrent pterygium underwent PERMISLET, i.e.

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Background: Despite recommendations against routine use, sodium bicarbonate (SB) is administered in approximately 50% of adult and pediatric in-hospital cardiac arrest (IHCA).

Methods: Cross-sectional electronic survey of adult and pediatric attending physicians at two academic hospitals in Boston, Massachusetts. The survey included two IHCA vignettes.

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Depression is a serious mental health disorder that impacts more than 350 million individuals globally. While the roles of serotonin and norepinephrine in depression have been extensively studied, the importance of dopaminergic pathways-essential for mood, cognition, motor control, and endocrine function-often gets overlooked. This review focuses on four major dopamine (DA) circuits: the mesolimbic (MLP), mesocortical (MCP), nigrostriatal (NSP), and thalamictuberoinfundibular pathways (TTFP), and their roles in depression.

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  • This study assesses the outcomes of adrenalectomy for pheochromocytoma in obese versus nonobese patients, using data from 46 centers from 2012 to 2022.
  • It finds that while obesity does not significantly increase the rate of complications or comprehensive complication index (CCI), it does lead to a longer hospital stay for patients.
  • Furthermore, minimally invasive surgical techniques, like laparoscopic and robotic surgeries, are associated with less morbidity in obese patients, and a retroperitoneal approach may provide additional benefits.
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Background And Aim: This study aims to investigate the antidepressant properties of Hispidulin, a flavonoid present in Scutellaria barbata D. Don. The selection of Hispidulin stems from its notable inhibitory activity against Xanthine Oxidase (XO), a parameter in the pathophysiology of depression.

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Lumpy skin disease (LSD), a viral disease of cattle, can be acute, subacute, or inactive. It is distinguished by fever and the abrupt emergence of firm, confined cutaneous nodules that usually necrotize. Similar lesions may occur in the skeletal muscles and the mucosae of the digestive and respiratory tracts.

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Background/objectives: High-altitude retinal hemorrhage (HARH), a frequent entity of high-altitude retinopathy (HAR), is associated with acute exposure to high altitudes (HAs) with rapid ascent. However, the delayed occurrence of HARH in well-acclimatized individuals has received less attention. This study explored the prevalence and characteristics of HARH in individuals who were acclimatized to HA for extended periods, aiming to elucidate the physiological responses of the retina to chronic hypoxic conditions.

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  • Cinematherapy uses movies to help people with depression by connecting their feelings to what they see on screen.
  • It combines storytelling and characters to help people understand their emotions and find healing.
  • With new technology like virtual reality, cinematherapy could become even better at helping people feel better and improve their mental health.
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  • - This study investigates the prevalence and prognosis of secondary hemophagocytic lymphohistiocytosis (sHLH) in adult scrub typhus patients in North India, finding it affects 18.7% of patients.
  • - Key diagnostic factors include high-grade fever, seizures, and elevated ferritin levels, with ferritin showing the strongest correlation (AUC 0.83) for diagnosing sHLH.
  • - The research highlights that patients with sHLH have a significantly higher in-hospital mortality rate (21.4%) compared to those without (6.6%), stressing the importance of early detection for better management.
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Background: This study aims at evaluating the validity profile of Titmus vision screener V4 for gauging visual acuity and colour perception as a screening tool.

Methods: Eleven hundred young adults attending eye OPD at a tertiary care center were included in the study. All individuals underwent distance visual acuity (DVA) measurement with Snellen chart and Titmus vision screener V4, at 6 m on the same day.

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Anticholinergic toxicity and neuroleptic malignant syndrome (NMS) are common toxidromes in medical emergencies. However, their co-occurrence, resulting in a dual toxidrome, is rare and presents significant diagnostic and therapeutic challenges. We present the case of a 23-year-old young male with polysubstance dependence, admitted following combined trihexyphenidyl and risperidone toxicity.

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Background And Objective: Robotic adrenalectomy (RA) has attracted interest as an alternative to laparoscopic adrenalectomy (LA) for patients with pheochromocytoma, although its beneficial effects are uncertain. Our aim was to compare RA and LA outcomes for these patients.

Methods: Data for patients who underwent RA or LA for pheochromocytoma in 46 international centers between 2012 and 2022 were reviewed.

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Background: Fluid therapy with normal saline (NS) in diabetic ketoacidosis (DKA) can cause hyperchloremic acidosis and delay DKA resolution. Balanced crystalloids may address this concern, though results with Ringer lactate and Plasma-Lyte have been mixed.

Aim: This study aimed to compare the effectiveness of Sterofundin (SF) vs.

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  • Chronic kidney disease (CKD) significantly raises the risk of infections, contributing to increased illness and death rates, and this study focuses on understanding this issue in CKD patients in North India.
  • Conducted at a medical institute over almost two years, the study involved 248 CKD patients with infections, revealing common infections like pneumonia and urinary tract infections, and a high in-hospital mortality rate of 33.5%.
  • The research highlights the atypical presentation of infections in these patients and underscores the need for effective management strategies, especially for those with low Glasgow coma scale scores, to improve survival outcomes.
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Tuberculous meningitis (TBM) often causes cerebral infarction, but its predictive factors are not well understood. Patients aged ≥13 years admitted with TBM were enrolled prospectively. Cerebral infarction was diagnosed using magnetic resonance imaging.

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Two-dimensional (2D) wide bandgap materials are gaining significant interest for next-generation optoelectronic devices. However, fabricating electronic-grade 2D nanosheets from non-van der Waals (n-vdW) oxide semiconductors poses a great challenge due to their stronger interlayer coupling compared with vdW crystals. This strong coupling typically introduces defects during exfoliation, impairing the optoelectronic properties.

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Background: Patients newly initiated on opioids (OP), benzodiazepines (BZD), and antipsychotics (AP) during hospitalization are often prescribed these on discharge. Implications of this practice on outcomes remains unexplored.

Objective: To explore the prevalence and risk factors of new initiation of select OP, BZD and AP among patients requiring in-patient stays.

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Depression, a pervasive mental health disorder, affects millions worldwide, necessitating the widespread use of synthetic anti-depressant medications. While these pharmaceutical interventions have demonstrated efficacy in alleviating depressive symptoms, they are not without their associated side effects. This review provides a comprehensive overview of the side effects of synthetic anti-depressants, aiming to enhance the understanding of their clinical implications.

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  • This study compares the effectiveness of a low-dose (10 vials) antivenom regimen to the usual dose (20 vials) in treating snakebite envenoming caused by krait bites in patients needing mechanical ventilation.
  • Conducted in a north Indian tertiary-care hospital, the study found that both low and standard doses had similar outcomes in terms of the duration of mechanical ventilation, hospital stay, and survival rates.
  • The results suggest that the low-dose regimen is just as effective as the standard dose, which could help conserve antivenom resources in low- and middle-income countries.
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  • The study assessed the effectiveness of the D-Dimer assay as a tool for ruling out cerebral venous sinus thrombosis (CVST), building on its established role in excluding deep vein thrombosis.
  • Participants suspected of having CVST underwent CT/MR venography, and their D-Dimer levels were measured and analyzed alongside clinical factors to develop a prediction rule.
  • Although D-Dimer showed limited diagnostic accuracy for identifying CVST, a level below 300 ng/mL demonstrated high sensitivity, and a clinical decision rule derived from factors such as gender and headache significantly improved diagnostic accuracy.
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