Publications by authors named "Shyam Chaudhary"

Utilizing the two available prediction models, i.e., the dual antiplatelet therapy (DAPT) score and predicting bleeding complication in patients undergoing stent implantation and subsequent dual antiplatelet therapy (PRECISE-DAPT) score, we aimed to determine the appropriateness of the DAPT in patients with acute myocardial infarction (AMI) in patients undergoing percutaneous coronary intervention (PCI).

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Introduction: Metabolic syndrome (MetS) and hypothyroidism are well-established forerunners of atherogenic cardiovascular disease (CVD). It is possible that patients suffering from both these disease entities may have a compounded risk. This study aimed at determining the prevalence of hypothyroidism in MetS.

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Background: The metabolic syndrome (MetS), a cluster of cardiovascular risk factors, is associated with obstructive sleep apnea (OSA). OSA is a major contributor to cardiac, cerebrovascular, and metabolic disorders as well as to premature death.

Materials And Methods: This cross-sectional study was done for 1 year in 103 patients of MetS diagnosed by the International Diabetes Federation criteria.

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Background: Poisoning is a significant health hazard and a leading cause of morbidity and mortality worldwide. India, being a predominantly agrarian country, routinely employs organophosphate (OP) pesticides in farming, and they are readily available "over the counter." OPs exert their toxicity by interfering with the normal function of acetylcholine, an essential neurotransmitter throughout the autonomic and central nervous systems.

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Background And Objective: Tobacco smoking is an established risk factor for chronic obstructive pulmonary disease (COPD). Current evidence suggests that non-tobacco-related risk factors vary geographically and are less understood than smoking. This study aims to compare the risk factors, symptoms, and clinical features of smoking (S-COPD) and non-smoking (NS-COPD) in a COPD population.

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Article Synopsis
  • - The study aimed to compare the effectiveness of a simple assessment method, called the Number of Organ Dysfunctions in Acute-on-Chronic Liver Failure (NOD-ACLF) score, against more complex prognostic scores to predict mortality in ACLF patients.
  • - Out of 80 ACLF patients studied, most were male, with a significant percentage suffering from alcohol-related issues, and the overall mortality rate was found to be 52.5%.
  • - The results showed that the NOD-ACLF score, which tallies the number of organ dysfunctions, was a reliable and easy-to-calculate predictor of mortality, outperforming other conventional scoring systems.
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  • The WHO estimated that in 2019, 2 million lives and 53 million disability-adjusted life-years were lost due to chemical exposures, highlighting the need to understand acute poisoning cases for better prevention and management.* -
  • A study in North India found that out of 417 poisoned patients, most were young males from rural areas, with snakebites and pesticide poisoning being the most common causes, and 83.69% of patients improved after treatment.* -
  • The research emphasizes the importance of training primary care physicians about newer poisoning risks to ensure timely identification and management, especially given the association of severe cases with aluminum phosphide and organophosphate poisons.*
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  • The study focuses on portal hypertension and its complications, specifically esophageal varices (EV), and explores ammonia levels as a non-invasive predictor of EV in cirrhotic patients.
  • Conducted at a tertiary healthcare facility in India, the study analyzed 97 liver disease patients, comparing their serum ammonia levels with the presence and severity of varices determined through endoscopic screening.
  • Results indicated significantly higher serum ammonia levels in patients with large varices (Group A) compared to those with no or low-grade varices (Group B), suggesting the potential of ammonia as a useful marker for identifying patients at risk for severe EV.
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Introduction About one-half of patients who have essential hypertension have obstructive sleep apnea (OSA), and about one-half of patients who have obstructive sleep apnea have essential hypertension. OSA can cause even resistant hypertension if left untreated. These two entities often co-exist and are seen as a continuum of the same process.

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  • This study compares central blood pressure (CBP) and peripheral blood pressure (PBP) in hypertensive patients and healthy individuals, focusing on the impact of antihypertensive medications on CBP.
  • The research involved 134 hypertensive patients, where a significant portion still experienced uncontrolled PBP, highlighting a potential underdiagnosis in CBP.
  • Results indicate that CBP better predicts cardiovascular events and calcium channel blockers (CCBs) showed better control of CBP in treated patients.
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Introduction: Acute exacerbation of chronic obstructive pulmonary disease (COPD), frequently due to respiratory tract infection is the major cause of morbidity and mortality, and estimate suggests that it is currently the third leading cause of death worldwide.

Aims And Objectives: This study aims to study the prevalence of nontubercular bacterial and fungal infections in patients of COPD.

Materials And Methods: It is an observational study done for 1-year period from August 2017 to July 2018.

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Background Cutaneous mucormycosis has shown a significant upsurge during the COVID-19 pandemic. Due to the rapid progression and high mortality of cutaneous mucormycosis in this context, it is important to identify it early. However, very few studies report detailed clinical descriptions of cutaneous mucormycosis in COVID-19 patients.

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Background: There is strong evidence that periodontal disease (PD) is related to various systemic diseases including respiratory diseases. Dental plaque is the primal cause of PD, and it can also be used as a reservoir of lung pathogens. After inhalation, it can cause a variety of respiratory infections.

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The whole world got threatened by COVID-19, which made a significant loss in various sectors and pushed the world into a deep valley. Now a new threat, the emerging outbreak of monkeypox is rapidly spreading across the globe and is currently being observed in more than 110 countries with 79,473 confirmed cases and 50 deaths. Data were collected from PubMed, EMBASE, MEDLINE, Cochrane, Scopus database, African Journals OnLine, internet library sub-Saharan Africa, and Google Scholar.

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Background Chronic obstructive pulmonary disease (COPD) cannot be properly characterised by a single metric, forced expiratory volume in the first second (FEV1), due to its complexity and heterogeneity. The GOLD 2017 report contained the ABCD evaluation method to measure airflow limitation, symptoms, and/or exacerbation risk. Objective The purpose of this study was to explore the relationship between clinical characteristics and GOLD groups or stages in patients with COPD.

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Introduction: Obstructive sleep apnea (OSA) and hypothyroidism are closely linked as hypothyroidism has been shown to lead to the development of OSA through multiple mechanisms. With the changing lifestyle patterns worldwide and increased prevalence of obesity, the burden of OSA has substantially increased. The association of OSA with hypothyroidism is essential to establish.

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Introduction: Noncystic fibrosis bronchiectasis (NCFB) is a neglected debilitating condition with scarce epidemiological literature explaining its geographical heterogeneity, especially in lower and middle-income countries. This study aimed to assess and correlate the functional profile of NCFB patients and evaluate the correlation of body mass index (BMI) with several disease variables.

Methods: This mixed-method retrospective research study was conducted on 124 radiologically confirmed NCFB patients in terms of various qualitative and quantitative variables.

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Background: Liver cirrhosis is among the leading causes of morbidity and mortality worldwide. Although liver biopsy is the gold standard for the assessment of liver fibrosis in cirrhosis, it has its own limitations. Therefore, noninvasive methods to detect liver fibrosis are widely preferred.

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Background: Coronavirus disease 2019 (COVID-19) is a novel infectious disease caused by SARS CoV-2 that emerged in Wuhan, China, and has rapidly spread worldwide. The mortality rate of critically ill COVID-19 patients is high.

Objective: To assess the severity, different clinical symptoms, and comorbidities of COVID-19 pneumonia in vaccinated vs.

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COVID-19 pandemic had adversely affected the services of the National Tuberculosis (TB) Elimination Programme, resulting in psychological distress among pulmonary tuberculosis patients (PTB). This cross-sectional, hospital-based study included 361 PTB patients. Three pre-defined questionnaires were used for the analysis, a questionnaire to evaluate anxiety related to COVID-19, a patient health questionnaire (PHQ-9) for depression, and a fear of COVID-19 scale (FCV-19S) questionnaire.

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Unlabelled: Chronic obstructive pulmonary disease (COPD), a heterogeneous lung disorder that is characterized by airflow obstruction and the third leading cause of death, globally. COPD is influenced by environmental and genetic factors. Here, we measured the serum level of matrix metalloproteinase-9 (MMP-9), cyclooxygenase-2 (COX-2) and prostaglandin E-2 (PGE-2) and reveal the correlation between their levels in COPD subjects.

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Objective: The aim of the study was to assess the impact of non-surgical periodontal therapy (NSPT) on periodontal clinical parameters, spirometric indices, and salivary MMP-8 levels in patients with chronic obstructive pulmonary disease (COPD) with concurrence of chronic periodontitis (CP) compared with systemically healthy CP.

Material And Methods: In this prospective clinico-biochemical study, a total of 75 patients belonging to various socioeconomic strata were randomly divided into cases, that is, COPD patients as per the Global Initiative for Obstructive Lung Disease (GOLD) criteria with concurrence of CP [at least ≥ 20 teeth with ≥ 2 tooth sites having pocket probing depth (PPD) or clinical attachment loss (CAL) ≥ 4mm and bleeding on probing (BOP)] and controls (systemically healthy CP). Both groups underwent NSPT and were evaluated for plaque index (PI), gingival index (GI), PPD, CAL, and BOP and spirometry (FEV1/forced vital capacity (FVC)) values at baseline, 3, 6, and 12 months and for salivary MMP-8 levels at baseline and 3 months.

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Article Synopsis
  • Obstructive sleep apnea (OSA) is common in type 2 diabetic patients, leading to increased health risks like insulin resistance and inflammation.
  • In a year-long study involving 149 diabetic patients, 55% were found to have OSA, particularly affecting older males and those with higher body measurements.
  • The study emphasizes the need for routine OSA screening in diabetic patients, even if they don't show symptoms, particularly if they have elevated waist circumference and BMI.
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Background: Scrub typhus is a neglected rickettsial disease in India. Every year, we are facing outbreaks of Scrub typhus after Monsoon season. Patients present with a wide clinical spectrum ranging from pyrexia of unknown origin to multiple organ dysfunction.

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