Publications by authors named "Sharma Akash"

Article Synopsis
  • Breast carcinomas often express estrogen receptors (ER), but other cancers do too, which can complicate diagnostic interpretations using 16α-[F]fluoro-17β-estradiol (FES).
  • A case is presented involving a woman with a history of both ER+ breast cancer and pulmonary adenocarcinoma.
  • An FES pulmonary nodule was found in this patient and was confirmed through histopathology to be a metastasis of ER-expressing pulmonary adenocarcinoma.
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. Arthritis has increased systematic repercussions either by extra-articular manifestations or due to limited activities. .

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  • Acute scrotum is a critical medical situation that requires quick and accurate diagnosis due to the variety of possible surgical conditions involved.
  • Ultrasound is the primary imaging technique used for diagnosing most scrotal disorders effectively and accurately.
  • The American College of Radiology establishes guidelines based on thorough analysis of medical literature and expert review to ensure appropriate imaging and treatment procedures are applied in acute scrotal cases.
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  • * The study analyzed 80 wild bael genotypes using SSR markers, finding significant variations in morpho-pomological traits like fruit size, pulp weight, and sugar content.
  • * Genetic diversity analysis revealed distinct clusters among the genotypes, which can aid in future breeding efforts to enhance the fruit's quality and utilization.
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Cancer is classified as having one of the highest mortality rates on a global scale, presenting a significant challenge in its treatment, especially when conventional chemotherapy methodologies are used. Conversely, there is a growing interest in utilizing herbal medicine as an alternative to the treatment of cancer because of its lack of adverse effects compared to contemporary medical strategies. The incorporation of nanotechnology into therapy has attracted attention owing to its efficacy in the treatment of various illnesses.

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The aim of this study is to analyze retracted studies in cardiovascular field. PubMed and Embase databases were used to identify retracted publications from 2002 to 2022. Various characteristics of articles were retrieved, and an analysis was performed using R software.

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Background: Immune checkpoint inhibitors (ICIs) have uncommon associations with cardiotoxicity, yet these cardiotoxic effects are associated with high mortality. An accurate assessment of risk for cardiotoxicity is essential for clinical decision-making, but data from randomized controlled trials often differ from real-world observational studies.

Methods And Results: A systematic search of PubMed, Embase, Cochrane Library, and Scopus was performed, including phase II and III randomized controlled trials (RCTs) and observational studies (OSs) reporting myocarditis or pericardial disease, myocardial infarction, or stroke with an immunotherapy.

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Purpose: While the coronal plane alignment of the knee (CPAK) classification serves as a useful guide in personalising total knee arthroplasty (TKA), the extent of its correlation with segmental coronal extra-articular knee deformities remains uncertain. This study aims to investigate the potential correlation between CPAK matrix groups and segmental coronal extra-articular deformities in prearthritic knees, shedding light on the relationship between these two factors that seems to be both essential to perform personalised TKA.

Materials And Methods: A radiological assessment of 1240 nonarthritic knees was performed by evaluating lower limb measurements following the protocol established by Paley et al.

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Background: Substance use is a complex condition with multidimensional determinants. The present study aims to find the prevalence and determinants of substance use among young people attending primary healthcare centers in India.

Methods: A multicentric cross-sectional study was conducted across 15 states in India on 1,630 young people (10-24 years) attending primary health centers.

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  • Robotic-assisted total knee arthroplasty (RATKA) enhances the precision of implant alignment by using 3D models based on various preoperative imaging techniques like CT scans and radiographs, which have different radiation exposure levels.
  • This study investigated the radiation doses associated with the different imaging methods used in RATKA by analyzing 140 knees, categorized into three groups: CT images, long leg alignment films (LLAF), and standard knee radiographs.
  • Results showed that CT imaging had the highest average radiation dose (1135 mGy.cm2), followed by LLAF (3081 Gycm2), while standard knee radiographs had the lowest (4.43 Gycm2),
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Introduction: There is growing interest in the use of robotic TKA to improve accuracy of component positioning in Total Knee Arthroplasty (TKA). The aim of this study was to investigate the accuracy of implant component position using the ROSA® knee system with specific reference to Joint Line Height, Patella Height and Posterior Condylar Offset (PCO).

Methods: This was a retrospective review of a prospectively-maintained database of the initial 100 consecutive TKAs performed by a high volume surgeon using the ROSA® knee system.

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Bael is a medicinal cum fruit tree with multipurpose utility and propagated mostly through seeds. The present study aimed to assess and analyse the morpho-pomological and biochemical traits of eighty seedlings grown bael genotypes comparison with two commercial cultivars (NB-5 and NB-9) of bael. The significant differences were detected among the genotypes based on the measured morpho-pomological and biochemical traits.

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There is increasing adoption of robotic surgical technology in Total Knee Arthroplasty. The ROSA® knee system can be used in either image-based mode (using pre-operative calibrated radiographs) or imageless modes (using intra-operative bony registration). The Mako knee system is an image-based system (using a pre-operative CT scan).

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Objectives: To compare the performance of Modified Kramer's and Kramer's methods in terms of agreement with total serum bilirubin (TSB).

Methods: This cross-sectional study was done in Level-III neonatal unit in New Delhi. Visibly jaundiced neonates born at ≥35 wk of gestation were enrolled and examined by (i) conventional Kramer's, (ii) Modified Kramer's in artificial (MK-A) and (iii) natural daylight (MK-N), and finally sampled for estimation of TSB by point-of-care spectrophotometry.

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Background: The rise of robotics in orthopaedic training, driven by the demand for better training outcomes and patient care, presents specific challenges for junior trainees due to its novelty and steep learning curve. This paper explores how orthopaedic trainees perceive and adopt robotic-assisted lower limb arthroplasty.

Methods: The study utilised the UTUAT model questionnaire as the primary data collection tool, employing targeted questions on a five-point Likert scale to efficiently gather responses from a large number of participants.

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Article Synopsis
  • Heart failure with preserved ejection fraction (HFpEF) is a diverse condition that often occurs alongside chronic kidney disease (CKD), leading to higher rates of illness and death compared to other HFpEF types.
  • Both HFpEF and CKD share similar risk factors like obesity and diabetes, and their underlying mechanisms involve systemic inflammation and neurohormonal activity, making diagnosis challenging.
  • Recent treatments like SGLT2 inhibitors and GLP-1 agonists show promise for managing HFpEF and CKD by addressing multiple biological pathways, highlighting the need for a comprehensive, team-based care approach.
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Background: Operating room waste is disposed of in landfill sites, recycled, or undergoes costly, energy-intensive incineration processes. By assessing the quantity and recyclability of waste in primary hip (THA) and knee arthroplasty (TKA), we aim to identify strategies to improve sustainability.

Methods: A prospective waste audit of 15 primary THA and 16 primary TKA cases was conducted at a tertiary orthopedic hospital between April and July 2022.

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Purpose: Knees with unicompartmental varus osteoarthritis (OA) usually display a combination of tibiofemoral bony deformity and increased joint line convergence angle (JLCA). The JLCA is a product of intra-articular deformity and lateral soft tissue laxity. This study aims to define the correlation between the JLCA and progression of OA.

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 Considerable attention is focused on preoperative templating of radiological images in patients undergoing total knee arthroplasty to obtain optimal alignment and outcome. Several radiological measurements have been described.  In this study, we illustrate a new linear measurement: The linear coronal knee offset (LCKO) that can be used to analyze the coronal configuration on long leg alignment radiographs commonly undertaken during preoperative templating.

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Introduction: With growing trends in tobacco consumption, it has been observed that the age of initiation is gradually decreasing. To combat the deep-rooted problem of the Society, we need to target the adolescents at the time of their first consumption of tobacco forms. Hence, this study was conducted to assess the pattern of smokeless tobacco use among school going adolescents in senior secondary schools with the assessment of the sociodemographic factors responsible for initiation of smokeless tobacco use by adolescents.

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We present a unique case of neurosarcoidosis diagnosed based on thyroid biopsy and FDG PET (Fluorodeoxyglucose positron emission tomography) imaging. A patient presented for a second opinion after being placed in hospice for rapidly progressing dementia, presumed to be due to Creutzfeldt Jakob disease despite negative workup and was unable to perform activities of daily life or communicate with his wife. The patient underwent a workup including whole-body FDG PET, which showed hypermetabolic lymph nodes as well as a hypermetabolic nodule in the thyroid.

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