Publications by authors named "S Nijhawan"

Background: Bleeding from gastric varices is life-threatening, with significant rebleeding risk despite standard cyanoacrylate glue injection therapy. Our aim was to evaluate the efficacy and safety of endoscopic ultrasonography (EUS)-guided coil embolization with cyanoacrylate injection (Coil+CYA) compared with EUS-guided cyanoacrylate injection alone (CYA) for the treatment of gastric varices.

Methods: The study was conducted at a tertiary referral center in India, using a single-blinded, prospective, and parallel-group randomized design.

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  • Surgeons around the world are interested in making surgery more eco-friendly, so a group was formed to learn more about their thoughts on this topic.
  • They sent out a survey to understand how surgeons feel about being sustainable, how much they know about the carbon footprint of their surgeries, and what changes they are willing to make.
  • The results showed that most surgeons want to help the environment but don’t know much about how their practices affect it; they prefer learning through online resources.
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  • Patients with cirrhosis are at high risk for acute kidney injury (AKI), leading to poor outcomes, and a study was conducted in India to evaluate the causes and effects of AKI in these patients.
  • 243 cirrhotic patients were studied, with the majority being males; alcohol was the leading cause of cirrhosis, and most AKI cases were classified as pre-renal or hepatorenal syndrome.
  • The study found a significant correlation between the stages of AKI and liver function scores, with an in-hospital mortality rate of 18.5%, emphasizing the need for renal biopsy in non-responding patients for better treatment guidance.*
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  • The healthcare system has a big impact on the environment, especially operating rooms, which contribute a lot to carbon emissions.
  • Major organizations and governments are working together to make healthcare more sustainable and reduce its carbon footprint.
  • A new group called the Sustainability in Surgical Practice task force was formed to promote better practices and encourage actions that help both surgery and the environment.
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