405 results match your criteria: "Assam Medical College.[Affiliation]"

Objective: To assess the association of dietary fatty acids with asthma in Indian school children.

Methods: Children aged 6-16 years were enrolled from randomly selected urban schools in 10 cities. The International Study on Asthma and Allergies in Childhood Phase III Questionnaire was used to assess the prevalence of asthma.

View Article and Find Full Text PDF

Background and objective Hemophilia A (HA) is a genetic bleeding disorder caused by a lack of factor VIII (FVIII) and is associated with frequent bleeding and joint damage. Traditional intravenous treatments for this condition are cumbersome and can lead to complications. Emicizumab, a bispecific monoclonal antibody, offers a promising subcutaneous alternative with potential safety and efficacy-related benefits.

View Article and Find Full Text PDF

Background Sickle cell disease (SCD) is a hereditary disorder marked by abnormal hemoglobin (HbS), leading to chronic hemolytic anemia, vaso-occlusive crises (VOCs), and multi-organ complications. In India, the prevalence of SCD is highest among tribal populations in states like Madhya Pradesh, Maharashtra, Odisha, and Assam, with the disease burden exacerbated by limited healthcare access, especially in rural regions. This study provides a comprehensive analysis of the demographic profile, clinical features, and treatment patterns of SCD patients at a tertiary healthcare center in Upper Assam, where the prevalence of SCD is high among the tea tribe communities.

View Article and Find Full Text PDF

Topical Tacrolimus in Vitiligo: Consensus Paper from the Pigmentary Disorders Society.

Clin Cosmet Investig Dermatol

December 2024

Consultant Dermatologist, Indore, Madhya Pradesh, India.

Background: Tacrolimus, a topical calcineurin inhibitor (TCI) with immunomodulatory effects, is considered a viable treatment option for vitiligo. A consensus building exercise was undertaken to determine the role and clinical utility of topical tacrolimus in the management of vitiligo using input from experts in the field of dermatology.

Methods: Seventeen experts collaborated to create consensus statements using a modified Delphi methodology.

View Article and Find Full Text PDF

Indian Trial of Tranexamic acid in Spontaneous Intracerebral Hemorrhage study protocol.

Int J Stroke

January 2025

Indian Council of Medical Research, Non-Communicable Diseases Section, New Delhi, India.

Rationale: Early mortality in intracerebral hemorrhage (ICH) is due to hematoma volume (HV) expansion, and there are no effective treatments available other than reduction in blood pressure. Tranexamic acid (TXA) a hemostatic drug that is widely available and safe can be a cost-effective treatment for ICH, if proven efficacious.

Hypothesis: Administration of TXA in ICH patients when given within 4.

View Article and Find Full Text PDF

Background: For COVID-19 pandemic and associated factors, around 25 million children missed routine immunization in 2021. NFHS-5 for Assam reported 67% coverage with routine immunization in 2019-21 which is below national average (77%) and lowest among Indian States/UTs. Lack of knowledge and skill among provider can reduce coverage.

View Article and Find Full Text PDF

Background: In high-income countries, only 50% of patients treated for chronic diseases adhere to the prescribed treatment. This issue is even more pronounced in resource-limited countries. Medication adherence scales are simple, low-cost approaches to identify nonadherence in clinical practice.

View Article and Find Full Text PDF
Article Synopsis
  • * A study was conducted in Dibrugarh district, Assam, analyzing trends in head and neck cancer from 2003 to 2016, revealing the hypopharynx as the most common site, particularly among males aged 50-70.
  • * The findings indicated a decrease in head and neck cancer incidence among men, while an increase was observed among females, suggesting a need for improved prevention and treatment strategies in the region.
View Article and Find Full Text PDF

Introduction Cadaveric dissection has remained the mainstay of anatomy teaching. However, there is an acute shortage of cadavers for teaching undergraduate students, postgraduates, and specialists, and to supplement the gap, voluntary body donation is gaining momentum. The present study aims to explore the barriers to body donations for anatomical dissection.

View Article and Find Full Text PDF

Objective: To investigate whether induction/augmentation of labor in pregnant women with anemia increases the risk of postpartum hemorrhage (PPH) and whether this risk varied by indications for labor induction/augmentation and by anemia severity in pregnancy.

Methods: In a prospective cohort study of 9420 pregnant women from 13 hospitals across India, we measured hemoglobin concentrations at recruitment (≥28 weeks of gestation) and blood loss after childbirth during follow-up and collected clinical information about PPH. Clinical obstetric and childbirth information at both visits were extracted from medical records.

View Article and Find Full Text PDF

Sickle cell disease (SCD) with vaso-occlusive pain crisis (VOC) significantly impacts patient well-being and often results in extensive healthcare resource utilization. This study assessed the VOC burden, its management and its impact on patients' quality of life (QoL). A cross-sectional observational study was conducted between November 2021 and June 2022, including 1000 SCD patients from high-prevalence states in India.

View Article and Find Full Text PDF
Article Synopsis
  • Food and waterborne illnesses are a major public health concern in India, often linked to large gatherings and poor food handling practices, as seen in an acute diarrheal disease outbreak at a birthday party in rural Assam.
  • The investigation involved collecting demographic data, illness details, rectal swabs, and water samples, revealing that 25 people were affected, with Shigella sonnei identified as the pathogen responsible for the outbreak.
  • The study highlighted a significant association between illness and the consumption of chicken curry, indicating a high attack rate and resistance of the pathogen to several antibiotics, while the water quality was deemed safe.
View Article and Find Full Text PDF
Article Synopsis
  • Scrub typhus is a disease caused by mites and is common in the Asia Pacific, leading to serious neurological problems like meningoencephalitis and, in rare cases, CVST.
  • A unique case involved an 18-year-old pregnant woman in India who, after experiencing symptoms like fever and headaches, was found to have CVST stemming from scrub typhus meningoencephalitis; treatment involved azithromycin and later anticoagulation therapy.
  • The report emphasizes the need to consider CVST in pregnant women with severe scrub typhus symptoms even if antibiotics are being used, as early treatment is crucial for better outcomes.
View Article and Find Full Text PDF

Candidaemia and Central Line-Associated Candidaemia in a Network of Indian ICUs: Impact of COVID-19 Pandemic.

Mycoses

September 2024

Division of Epidemiology and Communicable Diseases, Indian Council of Medical Research, Delhi, India.

Article Synopsis
  • The study investigates the prevalence and impact of candidaemia in 67 ICUs across India, assessing how the COVID-19 pandemic influenced its rates and mortality.* -
  • Data from 401,601 patient days revealed higher candidaemia rates in COVID-19 ICUs (2.52/1000 patient days) compared to non-COVID-19 ICUs (1.05/1000 patient days), with associated mortality significantly higher in COVID-19 cases (61% vs. 41%).* -
  • Analysis identified C. tropicalis as the most common isolated species (26.7%), while C. auris, which had a high mortality rate, accounted for 17.5% of isolates
View Article and Find Full Text PDF
Article Synopsis
  • COVID-19, caused by the SARS-CoV-2 virus, led to rapid vaccine development like Covishield, but concerns about immunity and adverse events emerged.
  • A study comparing IgG antibody levels and adverse events post-vaccination in seropositive vs. seronegative adults showed 61% were seropositive, with over half reporting minor adverse events, predominantly in younger females.
  • The findings indicate that Covishield effectively induces an immune response, with seropositive individuals having higher antibody levels, and the observed adverse events were mostly minor, suggesting the vaccine is relatively safe.
View Article and Find Full Text PDF
Article Synopsis
  • Hypertension affects 5-10% of pregnancies and is a major issue, particularly in rural Dibrugarh district, Assam, where a community-based study was conducted.
  • The study involved 384 pregnant women and found a 9.1% prevalence of hypertension, identifying significant risk factors such as multigravidity, multiparity, and gestation over 20 weeks.
  • Awareness of these risk factors is crucial for prevention and management of hypertension in pregnant women in this region.
View Article and Find Full Text PDF

Introduction: Hepatitis C virus (HCV) infection is the most common chronic blood-borne disease and is more commonly associated with chronic active hepatitis leading to cirrhosis, hepato-cellular carcinoma and end-stage liver disease.

Methodology: 160 consecutive screening positive (Enzyme linked immuno sorbent assay positive) Hepatitis C samples were tested by HCV RNA Real Time-PCR for confirmation.

Result: Prevalence of confirmed hepatitis C among screening positive patient in the present study was found to be 24.

View Article and Find Full Text PDF

Background: Implication of infection in etiology of psychotic disorders is an area of interest.

Aim: We aimed to explore the relationship between and psychotic disorders in a preliminary study.

Materials And Methods: immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies were measured in a sample of patients with psychotic disorders, first-degree relatives (FDR), and healthy volunteers (HV) and compared.

View Article and Find Full Text PDF

An inflammatory condition known as adult-onset Still's disease (AOSD) is typified by quotidian (daily) fevers, arthritis, and a transient rash. This report details the case of a 21-year-old female patient who presented to our hospital with polyarthritis, a red rash, and a high-grade fever for more than three months. History was suggestive of AOSD, which was further proved by investigation and Yamaguchi criteria for AOSD.

View Article and Find Full Text PDF

Background And Objectives: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the mucoperiosteal lining of the middle ear cleft, presenting with recurrent ear discharge through a tympanic membrane perforation. The present study aims to assess the spectrum of bacterial infection among CSOM cases and detect the isolated organism's antibiotic sensitivity pattern.

Methods: The prospective hospital-based observational study was conducted from June 2021 to June 2022 and included 94 CSOM cases.

View Article and Find Full Text PDF

Risk factors for labour induction and augmentation: a multicentre prospective cohort study in India.

Lancet Reg Health Southeast Asia

June 2024

National Perinatal Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Oxford, UK.

Article Synopsis
  • This study investigated the factors influencing labor induction and augmentation among 9,305 pregnant women in India, exploring both clinical and non-clinical elements.
  • Findings showed that over 42% of participants underwent labor induction, with more than 27% experiencing augmentation, and many lacked clinical indications for these procedures.
  • Multivariable logistic regression indicated that women with fewer or no clinical indications were significantly less likely to have labor induced or augmented, highlighting a need for awareness around informed decision-making in these processes.
View Article and Find Full Text PDF

Objectives: Liver cirrhosis patients commonly progress to minimal hepatic encephalopathy (MHE) with cognitive impairment and raised blood ammonia and proinflammatory cytokines levels. This study aims to identify the subjects of MHE in patients with liver cirrhosis by hydrogen 1 magnetic resonance (1H-MR) spectroscopy of the brain, serum proinflammatory cytokines, and neuropsychiatric tests.

Materials And Methods: This prospective was carried out on 100 patients of liver cirrhosis without overt hepatic encephalopathy (HE) and compared with 100 healthy controls in a tertiary care hospital in Northeast India between September 2017 and October 2019.

View Article and Find Full Text PDF