199 results match your criteria: "All India Institute of Medical Sciences - Rishikesh[Affiliation]"

Long-term electrocardiogram (ECG) monitoring is crucial for detecting and diagnosing cardiovascular diseases (CVDs). Monitoring cardiac health and activities using efficient, noninvasive, and cost-effective techniques such as ECG can be vital for the early detection of different CVDs. Wet electrode-based traditional ECG techniques come with unavoidable limitations of the altered quality of ECG signals caused by gel volatilization and unwanted noise followed by dermatitis.

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Supraspinous Fossa: Anatomy and Pathology.

Indian J Radiol Imaging

January 2025

Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, United Kingdom.

Supraspinous fossa is an important location in the periscapular region, which houses important structures such as the supraspinatus muscle and the suprascapular nerve. The supraspinous fossa can be affected by pathologies involving its contents (supraspinatus muscle and suprascapular nerve), osseous boundary (scapular body, distal clavicle, and spinous process), or superficial soft tissue covering it. In this pictorial review, we describe the detailed anatomy of the supraspinous fossa.

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Background: Adolescents in low-middle-income countries face increasing physical and mental health challenges. The present study aimed to assess status of injury, verbal abuse, substance use, and emotional behavior of adolescents of Uttarakhand, India, and evaluate the importance of each component.

Methods: A cross-sectional study was conducted among adolescents in 13 government schools in Uttarakhand using the Global School-based Health Survey (GSHS).

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Background: Diagnosis and management of developmental dysplasia of hip (DDH) in underdeveloped regions is frequently delayed, potentially impacting final outcomes. This prospective study was conducted with the aim of answering the question, "Do children <3 years at index surgery for DDH have better outcome at 5-year follow-up in comparison to children >3 years at index surgery?"

Methods: Between 2016 and 2021, all walking-age children with DDH were prospectively enrolled in the study. The study cohort was divided into 2groups: Group 1 ⩽3 years of age, and Group 2 included children >3 years old.

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We report a case of severe neonatal hyperbilirubinaemia (NNH) in a term neonate due to rhesus isoimmunisation resulting in classical clinical features of acute bilirubin encephalopathy and its sequel, kernicterus. Though NNH is common, its complications are less often encountered today with the widespread availability of effective phototherapy. It is important not to miss the clinical signs of this preventable cause of neuro-disability.

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Article Synopsis
  • - The study compares the effectiveness of two methods of postoperative oral feeding—on-demand versus predetermined timing—in patients who had elective cholecystectomy surgeries under general anesthesia.
  • - A total of 120 patients were divided into two groups; one received coconut water upon request (On-Demand group), while the other received it at a set time (Predetermined-Time group).
  • - Results showed similar rates of postoperative nausea and vomiting in both groups, but patient satisfaction was significantly higher in the On-Demand group, suggesting that allowing patients to choose when they eat enhances their recovery experience.
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  • Guillain-Barre syndrome (GBS) has been documented since 1859 and involves various factors that can affect prognosis and treatment options.
  • Intravenous immunoglobulin (IVIG) and Therapeutic Plasma Exchange (TPE) are primary treatments for GBS, and early identification of its subtypes helps in managing the condition effectively.
  • In a study of six pediatric cases of the Acute Motor Axonal Neuropathy (AMAN) subtype, five patients successfully recovered from mechanical ventilation after receiving TPE, highlighting its potential benefits in severe, IVIG-resistant GBS cases.
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Clients with chronic and severe psychiatric illnesses, such as schizophrenia, often present with significant challenges in psychotherapy, particularly in establishing a stable therapeutic alliance. This paper details a novice therapist's experience and initial challenges in establishing a bond with a client diagnosed with chronic schizophrenia. After initial efforts and 12 months of fluctuating client engagement, the treatment team recognized the need for a stronger alliance.

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Gestational trophoblastic disease is a group of pregnancy-related trophoblastic tumours. Gestational trophoblastic neoplasia refers to its invasive and malignant forms: invasive mole, choriocarcinoma, placental site trophoblastic tumour and epithelioid trophoblastic tumour. Patients exhibit elevated beta human chorionic gonadotropin (β hCG) levels, sometimes exceeding 100 000 mIU/mL.

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Heteropagus, also known as parasitic twining, is the asymmetric twinning of conjoined identical or monozygotic twins. One severely deficient twin (the parasite) relies on the other twin's heart (the autosite) to survive. The circumstance only arises when parts of the body of the developed and delivered twin are joined to the undeveloped or underdeveloped twin.

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Background: While serum Krebs von den Lungen-6 (KL-6) has been found to be a helpful    biomarker in interstitial lung diseases for evaluating disease severity and progression, especially in connective tissue disease-associated interstitial lung disease (CTD ILD) and idiopathic non-specific interstitial pneumonia (NSIP), data on correlation of serum KL-6 levels with radiological fibrosis and pulmonary function parameters is lacking in treatment naïve Idiopathic Pulmonary Fibrosis (IPF) patients.

Methods: Serum KL-6 levels were measured in thirty-nine treatment naïve newly detected IPF patients using automated immunofluorescence enzyme assay (AIA) by Tosoh Corporation, bioscience division, Tokyo, Japan. Fibrosis score was calculated by independent visual assessment of the pattern and severity of abnormalities on high resolution computed tomography (HRCT) thorax.

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Article Synopsis
  • * Doctors suspected various conditions, including soft tissue sarcomas and cysts, but MRI indicated a primary intramuscular hydatid cyst; however, tests for echinococcal infection were negative.
  • * During surgery, it was discovered that the lesion was actually cysticercosis, a rare condition, and the patient recovered well, emphasizing the need to consider this diagnosis in similar cases, especially in endemic regions.
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  • Juvenile nasopharyngeal angiofibroma (JNA) is a benign but aggressive tumor commonly found in adolescent males, presenting symptoms like nosebleeds and nasal blockage over time.
  • Diagnosis often involves clinical evaluations and imaging studies, with preoperative angiography being key for identifying blood supply to reduce surgical bleeding risks.
  • A case study on a young man in his 20s highlighted surgical removal of a large bilateral JNA that extended into the brain, involving embolization and a complex surgical approach, followed by radiation therapy, leading to positive outcomes after 2 years of follow-up.
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Background: Adolescents experience rapid physical, cognitive, and psychosocial growth in their transition from childhood to adulthood, affecting health outcomes and well-being. Health-related quality of life (HRQoL) is a useful indicator of health outcomes, assessed in the current study along with associated determinants.

Methods: A cross-sectional study was conducted among 634 randomly selected adolescents from 13 randomly selected schools in Gharwal division, Uttarakhand, India, from August 2019 to September 2020.

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A distal femoral cemented modular prosthesis is a viable option for post-bone tumor and limb salvage procedures. The major reasons for implant failures are the poor quality of implants, mechanical stress, biochemical reactions, and extended period of the implant in vivo use. Rare incidences have been reported of distal femur prosthesis implant malfunctioning in a subject having osteosarcoma.

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Double-J (DJ) stents are most commonly used urological tools these days. Serious complications may occur when stents are left in place for longer duration. We present a case of a woman in her 40s with a forgotten DJ stent for 4 years, leading to complications such as encrustations, bladder and renal stone formation.

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Carcinoma en cuirasse (CeC) is an uncommon presentation of metastatic cutaneous carcinoma, most often originating from breast carcinoma. We present a case study of a man in his 30s exhibiting progressive skin thickening over the left chest, alongside appetite and weight loss. On examination, the patient had painless skin induration and palpable, matted, hard, immobile and non-tender axillary, cervical and inguinal lymphadenopathy.

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Background: Measurable/minimal residual disease (MRD) is considered the single most powerful high-risk factor in acute leukemia, including T-cell acute lymphoblastic leukemia (T-ALL). In this study, we evaluated the impact of flow cytometry (FC)-based detection of MRD on survival outcomes in pediatrics, adolescents, and young adults (AYA) with T-ALL.

Methods: We included 139 patients, 88 pediatric patients between the ages of one and 14 years, and 51 AYA patients between 15 and 39 years of age, over a period of three years and were treated with the Indian Collaborative Childhood Leukemia Group (ICiCLe) protocol.

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 Contrast-enhanced ultrasound (CEUS) can reliably identify vulnerable plaques. As atherosclerosis is a systemic disease, we evaluated whether contrast enhancement of carotid plaque (CECP) can predict severe coronary artery disease (CAD) by comparing CECP in patients who have had acute coronary syndromes (ACS) recently with asymptomatic individuals.  This case-control study was done at a tertiary care center during 2022.

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Background: The World Health Organization (WHO) reports that Asia and Africa have the highest Chronic Liver Disease (CLD) mortality rate. Cirrhosis, responsible for 22.2 fatalities per 100,000 people, is India's 10th most common cause of mortality.

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  • The study investigates the effects of a peptide called FC-10 on neutrophil and monocyte functionality during systemic inflammation, specifically in endotoxemic conditions.
  • FC-10 was found to bind to integrin β1, leading to reduced activation and inflammatory responses in these immune cells, both in vitro and in vivo.
  • Administration of FC-10 significantly decreased inflammatory cell infiltration and improved survival rates in mice, suggesting its potential as a therapeutic agent for managing inflammation.
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