Publications by authors named "Tuheen Sankar Nath"

Parkinson's disease (PD) afflicted more than 8.5 million people globally in 2019, as the prevalence of the condition more than doubled during the preceding 25 years. Both non-motor symptoms, such as mood disorders and cognitive impairment, and motor symptoms, such as tremors and rigidity, are indicative of this progressive neurodegenerative disease.

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Minimally invasive surgery, especially robotic surgery, has become increasingly popular in colorectal surgery over the last decade. Robotic-assisted surgery has shown better outcomes than conventional laparoscopic surgery because of superior ergonomics, high-resolution three-dimensional cameras, and articulating instruments; however, issues like the long operative time and cost-effectiveness remain unresolved. This study compares the robotic and laparoscopic approach of abdominoperineal resection (APR) for low rectal cancer to evaluate the superiority of robotic surgery in short-term and oncological outcomes.

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Shift work has long been studied as a contributing risk factor for cardiovascular disease. This study aims to provide a comprehensive summary of data regarding shiftwork and its impact on the cardiovascular system from the last decade. It explores the association of shift schedules with multiple aspects of cardiovascular disease and the physiological processes that lead up to it.

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The global increase in cesarean section (C-section) births has heightened concerns about surgical site infections (SSIs), a significant risk associated with this common obstetric procedure. This literature review evaluates the impact of early dressing removal after C-sections, drawing from randomized controlled trials and clinical studies to assess potential benefits and risks. The review found no definitive evidence favoring a specific timing for dressing removal to reduce SSIs.

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  • * A systematic review of 16 studies evaluated the safety, efficacy, and tolerability of retinoids, along with their limitations, dosing, side effects, and application techniques for clinicians and patients.
  • * While retinoids are beneficial in the early and mild stages of cutaneous T-cell lymphomas, more research is needed to fully understand their mechanisms and the effects of their side effects on patients.
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  • * A review of 15 studies found that older patients on MMT face significant risks, with annual mortality rates between 2% and 10%, primarily due to overdose, respiratory problems, and heart disease, influenced by their existing health conditions.
  • * The review emphasizes the need for comprehensive, age-appropriate care models and gender-specific interventions to improve treatment effectiveness and lower mortality rates among older individuals undergoing MMT, along with necessary policy reforms and healthcare support.
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  • - Occupational contact dermatitis (OCD) is a skin condition caused by repeated exposure to hand sanitizers and chemicals, leading to inflammation, particularly affecting the hands in occupational settings.
  • - An umbrella review following PRISMA 2020 standards evaluated literature on OCD related to COVID-19, highlighting a systematic search that yielded 11 papers after applying strict inclusion criteria.
  • - The review anticipates a rise in dermatitis cases due to face mask use among healthcare workers and emphasizes the need for more research on the prevalence and treatments for this condition.
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The human gut microbiota (GM) might play a significant role in the development or remission of metabolic syndrome (MetS) and associated disorders. Contributing factors include diets rich in unhealthy, processed foods that contain preservatives, emulsifiers, and stabilizers. Diet influences the GM's composition, diversity, and species richness in a time-dependent manner.

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Cardiovascular risks and complications remain elevated in patients with type 2 diabetes even after appropriate control of contributing factors like glycemic control, hypertension, and lipid profile. More efficient methods are needed to address this issue in type 2 diabetics. Newer drugs like glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have shown a cardioprotective effect in addition to glycemic control.

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Traumatic brain injury (TBI) frequently leads to a myriad of long-term consequences, among which mood disorders present a significant challenge. This systematic review delves into the complex interplay between TBI and subsequent mood disorders, focusing on research studies conducted over the past decade. Encompassing an age range from 12 years old to older adults (60+ years), our review aims to elucidate the epidemiological patterns, neurobiological mechanisms, and psychosocial factors that contribute to the development of mood disorders following TBI.

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Patterned hair loss (PHL) is a severe hair condition that affects both sexes. Mesotherapy is a treatment that involves microinjecting medications and/or vitamins into the middle layer of the skin. Mesotherapy reduces systemic adverse effects by delivering drugs directly to the hair follicle, increasing local bioavailability while lowering systemic exposure.

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Inflammatory bowel disease (IBD) is a chronic ailment impacting the digestive system, triggered by an unusual reaction of the immune system. It includes two types of diseases: ulcerative colitis and Crohn's disease. Nonetheless, the diagnosis and evaluation of disease progression in IBD are difficult due to the absence of distinct indicators.

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  • Gender-affirming hormonal therapy (GAHT) is used by transgender individuals to align their physical characteristics with their gender identity, but it may increase the risk of metabolic issues, including a potential rise in type 2 diabetes mellitus.
  • This study systematically reviewed literature from 2014 to 2024, analyzing 11 articles on body mass index (BMI), insulin resistance, and diabetes incidence in both cisgender and transgender individuals undergoing GAHT.
  • Results indicated that while there wasn't clear evidence of increased diabetes incidence among GAHT patients, there was a notable rise in BMI and insulin resistance, particularly in transgender women, suggesting the need for regular monitoring during treatment and further research to explore these metabolic effects.
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Acne vulgaris, commonly called acne, is a skin condition affecting many individuals globally. It is a chronic condition characterized by developing pimples, blackheads (open comedones), whiteheads (closed comedones), and other skin lesions. Acne usually appears on the face, neck, chest, and back.

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The most recent advancements in cancer therapy center on efficiently and conveniently enhancing a patient's natural immune system. Immune checkpoint inhibitors (ICIs) are antibodies that target cytotoxic thymus (T) lymphocyte antigen-4 (CTLA-4) and its receptor. They function by stimulating T-cell activity against malignancies.

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  • Heart failure (HF) is a significant health issue globally, leading to high morbidity and mortality rates, which also place a heavy financial strain on health systems.
  • Angiotensin receptor-neprilysin inhibitor (ARNI), specifically sacubitril/valsartan, is a newer treatment option for HF, but its effectiveness compared to traditional treatments like ACE inhibitors and ARBs is still being researched.
  • A systematic review of recent large-scale clinical trials involving over 17,000 participants showed that sacubitril/valsartan led to better outcomes in reducing HF hospitalizations and preventing renal function decline, without increasing cardiovascular mortality risk.
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Renin-angiotensin-aldosterone system (RAAS) inhibitors, including angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs), are commonly used in the management of hypertension. High blood pressure is a vital risk factor for cardiovascular disease. This study aims to establish any significant difference in using ACEIs and ARBs in managing hypertension.

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Background: Although phenytoin's potential benefits in wound healing, pain relief, and infection control across various wound types have been previously reported, its use in wound care remains limited.

Objective: To conduct a comprehensive review to assess the efficacy of topical phenytoin compared with standard and alternative treatments for different wound types.

Materials And Methods: The authors last searched Cochrane Library, PubMed, PubMed Central, and MEDLINE in June 2023.

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Surgical rhinoplasty (SR), commonly known as nose job, is a widely practiced cosmetic surgery globally, aimed at addressing diverse aesthetic and functional concerns related to the nose. In recent years, non-surgical rhinoplasty (NSR) has gained popularity due to advanced techniques involving hyaluronic acid (HA) dermal fillers, offering advantages such as affordability, reduced side effects, and faster results. However, concerns persist about the suitability of dermal fillers for nasal anatomy and potential complications, prompting this comprehensive review.

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Atrial fibrillation (AF) is a common arrhythmia associated with significant morbidity and mortality. The optimal approach to managing AF, specifically rate control versus rhythm control, remains a topic of debate in clinical practice. This systematic review aims to compare the rate control and rhythm control strategies based on their clinical outcomes, quality of life, and adverse events associated with them.

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Due to the increased burden of chronic medical conditions in recent years, artificial intelligence (AI) is suggested in the medical field to optimize health care. Physicians could implement these automated problem-solving tools for their benefit, reducing their workload, assisting in diagnostics, and supporting clinical decision-making. These tools are being considered for future medical assistance in real life.

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  • - Neuropeptide CGRP plays a crucial role in migraines, and CGRP monoclonal antibodies (erenumab, galcanezumab, fremanezumab, and eptinezumab) are FDA-approved medications that have shown promising results in migraine prevention.
  • - A systematic review was conducted to evaluate the effectiveness and safety of these CGRP antibodies, revealing them to be effective and safe, possibly serving as a first-line treatment for migraines.
  • - The study suggests that combining CGRP antibodies with onabotulinumtoxinA may further enhance migraine prevention and highlights the need for more research to explore individual patient characteristics that affect treatment outcomes.
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The Helicobacter pylori infection is a significant issue in global health as it is associated with a range of gastrointestinal disorders and an elevated likelihood of developing stomach cancer. The declining efficacy of standard triple therapy (TT) as the recommended treatment can be attributed to the emergence of drug-resistant strains. Sequential therapy (ST) has been recognized as an alternative approach, wherein a combination of proton-pump inhibitor (PPI) and amoxicillin is administered for the initial five days, followed by a combination of PPI, clarithromycin, and metronidazole for the subsequent five days.

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  • Sotagliflozin, after FDA approval following significant trials, has become a pioneering drug for treating heart failure in Type 2 diabetes patients.
  • A systematic review was conducted comparing cardioprotective effects and mortality rates of sotagliflozin and dapagliflozin, revealing that sotagliflozin notably decreases cardiovascular mortality and hospitalizations when initiated timely.
  • The underlying mechanisms for the benefits of SGLT-2 inhibitors, like diuretic effects and reductions in glycemic toxicity, are complex, contributing to their cardioprotection in patients with heart failure.
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Several studies have shown that an association exists between hyperuricemia and heart failure. Despite several innovative management strategies, heart failure is a significant cause of mortality worldwide. Hyperuricemia in heart failure patients leads to poorer outcomes.

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