Publications by authors named "Shoban Babu Varthya"

Context: Despite the widespread recognition of the need for new palliative care models to better serve advanced cancer patients at the end of life, little importance is given to assessing the effectiveness of homecare models.

Objective: This systematic review aims to summarize factors influencing the quality of life (QOL) of advanced cancer patients in home-based palliative care (HBPC) being adopted worldwide.

Methods: Following the PRISMA guidelines, electronic databases such as MEDLINE, Cochrane, EMBASE, and Scopus databases from 2000 to February 2024 were systematically searched using predetermined search terms of "quality of life", "home-based palliative care" as well as "advanced cancer".

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Background: Shear wave elastography (SWE) is proven for liver fibrosis. However, there are challenges in assessing the kidney owing to its surrounding structures, retroperitoneal location, and visceral fat. Kidney biopsy is the gold standard for estimating fibrosis, but is associated with inherent risks of bleeding and sedation.

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Article Synopsis
  • Heart failure affects around 64 million people, particularly with HFrEF, which lacks direct trial comparisons between leading treatments like ARNI and SGLT2 inhibitors.
  • The study recruits 100 HFrEF patients and aims to compare the effects of dapagliflozin and sacubitril/valsartan over 16 weeks, focusing on biomarkers and cost-effectiveness.
  • The findings are intended to guide clinicians on treatment decisions while exploring how these medications influence GDF-15 levels for better prognostic understanding.
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Aim: To synthesize the evidence on the effects of glucagon-like peptide-1 receptor agonists (GLP-1RAs) in adolescents with overweight or obesity.

Materials And Methods: For this systematic review and network meta-analysis, we searched five databases and registries until 2 March 2024 for eligible randomized controlled trials (RCTs). The primary outcome was weight change.

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Background: Initial randomised controlled trials (RCTs) showed that prophylactic azithromycin in pregnant women improved maternal and neonatal outcomes; however, the recent evidence did not show any benefit to neonatal survival. There is conflicting evidence over the role of azithromycin prophylaxis in antenatal and intrapartum periods. We explored whether azithromycin prophylaxis in pregnant women improves maternal and neonatal outcomes.

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Aim: Vitamin D is involved in several processes related to the development of neuronal and non-neuronal cells. There is a possible link between maternal vitamin D status in pregnancy and delayed neurocognitive development in the offspring. The aim of the study was to explore the association of maternal and cord blood vitamin D levels with infants' neurodevelopment at 6 and 9 months of age.

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Introduction: Diabetes and depression are among the 10 biggest health burdens globally. They often coexist and exhibit a strong bidirectional relationship. Depression leads to decreased adherence to self-care activities.

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Article Synopsis
  • Intracranial electroencephalography (iEEG) helps identify the source of seizures in patients with epilepsy when noninvasive tests fail, providing crucial details for surgical decisions.
  • A study reviewed 18 studies and performed a meta-analysis on 10 of them, which included 526 patients, to evaluate the effectiveness of surgery following iEEG.
  • The findings showed a 53% overall success rate in achieving seizure freedom after surgery, while also highlighting varying risks of bias in the studies reviewed, suggesting more research is needed in this area.
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Background: Variation in blood pressure levels display circadian rhythms. Complete 24-hour blood pressure control is the primary goal of antihypertensive treatment and reducing adverse cardiovascular outcomes is the ultimate aim. This is an update of the review first published in 2011.

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Background: The rapid development of coronavirus disease 2019 vaccines during the pandemic has left their long-term effects largely unknown. Instances of autoimmune and subacute thyroiditis showing features of autoimmune/inflammatory syndrome induced by adjuvants have been reported post-vaccination. This case report aims to highlight the autoimmune/inflammatory syndrome induced by adjuvants syndrome after coronavirus disease 2019 vaccination, drawing attention to a possible connection with thyroid dysfunction and urging for further thorough research.

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Background: Major depressive disorder is often resistant to first-line treatment, with around 30% failing to respond to traditional therapy. Treatment-resistant depression results in prolonged hospitalization and healthcare costs. Anti-inflammatory drugs have shown promising results in depression not responding to initial therapy.

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  • The study investigates the effectiveness of four plagiarism detection tools (iThenticate, Grammarly, Small SEO Tools, and DupliChecker) on AI-generated articles due to rising plagiarism incidents in research.
  • A total of 100 AI-generated articles were analyzed using these tools, revealing significant differences in Overall Similarity Index (OSI), with Grammarly performing the best.
  • Factors such as article length and linguistic complexity influenced detection outcomes, highlighting the importance of choosing the right tool for effective plagiarism detection.
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Article Synopsis
  • * Researchers conducted a thorough review of existing literature, analyzing 31 studies with a total of 139 cases that provided detailed demographic and histopathological data.
  • * Key findings include that over two-thirds of patients had proteinuria and prominent tubular injury, with collapsing glomerulopathy seen in nearly half of the cases with glomerular damage.
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Background: Treatment of diabetes mellitus includes more than one drug of different groups, which may lead to a high pill burden and non-adherence to drugs. We have aimed to systematically analyze the clinical efficacy, safety, and pharmacoeconomic cost-effectiveness of the fixed-dose combination of empagliflozin plus a linagliptin in Type-2 Diabetes mellitus (T2DM) patients.

Methods: A literature search of PubMed/MEDLINE, SCOPUS, Google Scholar, and EMBASE was performed using the MeSH terms and/or keywords"((Single-pill combination) OR ((Fixeddose combination) OR (Combination therapy)) AND (Empagliflozin add on-to Linagliptin) OR (Empagliflozin combined with Linagliptin) OR ((Combination of Empagliflozin and Linagliptin)" from the inception to February 2021.

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Background And Objectives: Family Caregivers (FCs) of advanced cancer patients often suffer from caregiving burden due to stress arising from the responsibility of caregiving. During the course of their patients palliative therapy, FCs quality of life seems to be influenced by their satisfaction with the quality of patient care. In this study, caregiving burden of FCs and their satisfaction with dedicate Inpatient palliative care (IPC) services provided to their patients  were studied.

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Objective: To determine the prevalence of pesticide, corrosive, drugs, venom and miscellaneous poisoning in India.

Setting: Systematic literature search was done in PubMed Central, Cochrane and Google Scholar databases for studies that satisfied the inclusion criteria. Systematic review and meta-analyses of all observational studies published in the English language from January 2010 to May 2020 were included in this review.

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Background: Sufentanil sublingual tablet system (SSTS) is a recently approved formulation for postoperative pain management that has become popular due to its pharmacokinetic properties such as good bioavailability, rapid attainment of equilibrium and elimination without any metabolites, along with its pharmacodynamic properties such as rapid onset and effective pain reduction. It is also relatively well tolerated by patients.

Objective: This is a quantitative analysis of the efficacy and safety of SSTS in patients with moderate to severe postoperative pain.

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Background: The COVID-19 pandemic has disrupted the educational system and led to a drastic shift of professional undergraduate teaching for medical and nursing students into online mode.

Methods: This was a cross-sectional, observational questionnaire-based study to assess the satisfaction level of the students. The questionnaire had 25 items of which 23 were questions with responses on the Likert scale and two items on views and suggestions were open-ended.

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