691 results match your criteria: "Bharati Vidyapeeth Deemed university[Affiliation]"

Background: Chemotherapy-induced cardiotoxicity (CIC) is a significant challenge in cancer treatment, leading to heart failure and myocardial infarction. With rising cancer survival rates, the long-term cardiovascular health of survivors has gained importance. While several cardioprotective medications have been studied to mitigate chemotherapy's harmful effects on the heart, more research is needed to confirm their effectiveness and optimal use.

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  • Genetic neuromuscular disorders significantly impact muscle function and present challenges during pregnancy, necessitating a review of related obstetric outcomes.
  • A systematic analysis of 28 studies revealed common complications such as polyhydramnios, preterm labor, and increased rates of cesarean sections among pregnant women with disorders like myotonic dystrophy and spinal muscular atrophy.
  • Effective management of these high-risk pregnancies requires collaboration between neurologists and obstetricians, alongside further research to establish standardized care protocols.
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This work aimed to formulate surface-modified berberine hydrochloride (BER)-loaded liposomes containing nasal gel for bran targeting. The liposomes were prepared by ethanol-injection method and optimized following a 3 full-factorial design. Size, morphology, zeta potential, permeation, and release were estimated.

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A Case Report of Therapeutic Plasma Exchange in Hypertriglyceridemia-Induced Pancreatitis.

Indian J Hematol Blood Transfus

October 2024

Department of Immunohematology & Blood Transfusion, Bharati Vidyapeeth Deemed University Medical College, Hospital & Research Centre, Pune, Maharashtra India.

To support the evidence of plasma exchange's ability to rapidly lower serum TG levels and provide upcoming research opportunities for evaluating the long-term effects of this treatment, we present the case of a 35-year-old female who was admitted for Hypertriglyceridemia-induced Pancreatitis (HTGP). She underwent Therapeutic Plasma Exchange (TPE) using Spectra Optia Apheresis System on an emergency basis. The patient had a remarkable reduction of serum Triglycerides (TG) from 3953 to 291 mg/dl, which was life saving.

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Naturally Occurring Anti-D in a Male Blood Donor, Unresolved Mystery.

Indian J Hematol Blood Transfus

October 2024

Department of Immunohematology and Blood Transfusion, Medical College, Bharati Vidyapeeth Deemed University, Pune Satara Road, 411043 Dhankawadi, Pune, Maharashtra India.

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  • Pulmonary rehabilitation (PR) was implemented for COVID-19 patients experiencing long-term effects to assess its impact on their functional capacity and health-related quality of life (HRQOL).
  • The study involved 155 post-COVID patients undergoing a pre and post-assessment that included a six-minute walk test, focusing on various interventions like education, exercise, and strength training, conducted over eight weeks.
  • Results indicated significant improvements in resting pulse rate, oxygen saturation, walking distance, and various HRQOL domains, highlighting PR as effective for enhancing the quality of life in post-COVID patients.
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Rheumatoid arthritis (RA) is an autoimmune disease that causes distinctive inflammatory symptoms and affects over 21 million people worldwide. RA is characterized by severe discomfort, swelling, and degradation of the bone and cartilage, further impairing joint function. The current study investigates the antiarthritic effect of a methanolic extract of (methanolic extract of , MEAP), an aromatic herb.

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Background: Transcutaneous bilirubin (TcB) measurements during and after phototherapy for hyperbilirubinemia must be performed on unexposed skin. There are commercially made skin patches for this purpose, but they are relatively unavailable in low-resource settings. We devised a simple cotton patch and tested its use for TcB during phototherapy.

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Introduction: Glucagon-like peptide 1 receptor agonists (GLP-1 RA) have been extensively used to treat obesity in recent years. These novel drugs are effective at reducing body weight and also the risk of major adverse cardiovascular events in individuals with type 2 diabetes. However, the data of its efficacy in reducing cardiovascular events in individuals without type 2 diabetes is not as robust.

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Nuances of Cohort Studies and Risk Ratio.

Indian J Community Med

July 2024

Department of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.

Post-graduate students and faculty usually conduct case-control studies. However, sometimes they conduct cohort studies that are short-duration. Most investigators enroll the participants in two groups according to the exposure.

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  • - The BCG vaccine shows potential "off-target" benefits by providing some defense against respiratory infections, but its effectiveness against COVID-19 remains uncertain due to conflicting trial results and delays in vaccine production.
  • - A review of 13 randomized controlled trials involving nearly 14,000 participants found no significant benefit of BCG re-vaccination in reducing COVID-19 infections, hospitalizations, ICU admissions, or mortality rates.
  • - While BCG re-vaccination did not improve COVID-19 outcomes, it significantly increased local injection site complications, indicating a need for careful consideration of its role in COVID-19 prevention efforts.
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COPD is the second leading cause of death in India. The guidelines for early detection of COPD were released by the Government of India in 2019. However, due to the COVID-19 pandemic, its implementation could not be optimal.

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ISCCM Position Statement for Improving Gender Balance in Critical Care Medicine.

Indian J Crit Care Med

August 2024

Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

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Background: Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune disorder characterized by inflammatory assaults on the central nervous system (CNS), particularly on the optic nerves and spinal cord. In recent years, a wider range of clinical manifestations of this complex disease have been observed, emphasizing the importance of gaining a more profound understanding beyond optic neuritis (ON) and transverse myelitis (TM).

Current Knowledge: This study explores the many clinical symptoms of NMOSD, including common and uncommon presentations.

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Anesthesiology, as an occupation, has its own unique sets of challenges, problems, issues, and circumstances, all leading to "occupational stress," which by now should be unequivocally accepted as a well-established fact. It is futile to continue pursuing research questions like, if there "really" is stress existing among practicing anesthesiologists/trainees, by conducting questionnaire-based surveys and doing meta-analyses. A significantly high incidence of existence of occupational stress in anesthesiologists is an undisputable and practical reality, which, when longstanding, gets culminated into "burnout syndrome" with its disastrous outcomes.

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  • - Neonatal sepsis is a major health issue in admitted newborns, contributing significantly to morbidity and mortality, with 16.1% of patients in the study developing sepsis.
  • - A team focused on improving hand hygiene and intravenous line handling discovered that low compliance was the main factor leading to healthcare-associated infections (HAIs).
  • - By implementing the S-A-F-H protocol and regularly analyzing data, the team successfully reduced HAIs by 50% and improved compliance, highlighting the need for ongoing reinforcement of these practices to maintain results.
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  • * Initial management included inotropes, IV calcium, IV fluids, and oxygen to stabilize the patient.
  • * Therapeutic Plasma Exchange (TPE) was performed successfully, leading to significant improvement and the patient's discharge after 10 days, highlighting TPE's effectiveness for high-dose drug poisoning.
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Introduction Chest infections represent a significant challenge in mechanically ventilated patients, often leading to adverse outcomes despite advancements in critical care. This prospective study was conducted in the intensive care unit of tertiary referral care, with objectives to assess chest infection prevalence, microbial profiles, and outcomes in mechanically ventilated patients through broncho-alveolar lavage (BAL) examination. Methodology This prospective study involved 38 patients aged 15 to 65 years who were receiving mechanical ventilation and underwent BAL.

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Semiotics of ICU Physicians' Views on End-of-life Care and Quality of Dying in a Critical Care Setting: A Qualitative Study.

Indian J Crit Care Med

May 2024

Department of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Background And Aim: While intensive care unit (ICU) mortality rates in India are higher when compared to countries with more resources, fewer patients with clinically futile conditions are subjected to limitation of life-sustaining treatments or given access to palliative care. Although a few surveys and audits have been conducted exploring this phenomenon, the qualitative perspectives of ICU physicians regarding end-of-life care (EOLC) and the quality of dying are yet to be explored.

Methods: There are 22 eligible consultant-level ICU physicians working in multidisciplinary ICUs were purposively recruited and interviewed.

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Background: Scleroderma, also referred to as systemic sclerosis, is a multifaceted autoimmune condition characterized by abnormal fibrosis and impaired vascular function. Pathologically, it encompasses the persistent presence of inflammation, abnormal collagen buildup, and restructuring of blood vessels in various organs, resulting in a wide range of clinical symptoms. This review incorporates the most recent scientific literature on scleroderma, with a particular emphasis on its pathophysiology, clinical manifestations, diagnostic approaches, and treatment options.

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Use of Endodontic Procedures in Young Permanent Teeth.

J Pharm Bioallied Sci

February 2024

Professor and Head, Department of Oral Medicine and Radiology, Narsinbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujrat, India.

Background: Regenerative endodontic procedures (REPs) have emerged as a promising treatment option for young permanent teeth with pulp necrosis, offering the potential for tissue repair and preservation.

Materials And Methods: A retrospective analysis was conducted on a cohort of 30 patients aged 8 to 16 years with pulp necrosis in young permanent teeth. The patients underwent REPs, including disinfection, triple antibiotic paste application, and a coronal barrier.

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  • * Research was conducted using major databases with focused keywords to explore the connections between PD and related disorders, analyzing English-language literature that linked them to other dementias.
  • * Differentiating PD from Parkinson's plus syndromes is challenging because they show overlapping features, and their interactions with diseases like Lewy Body dementia and Alzheimer's involve shared pathogenic processes and genetic factors.
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AZD1222 (ChAdOx1 nCoV-19) is a replication-deficient adenoviral vectored coronavirus disease-19 (COVID-19) vaccine that is manufactured as SII-ChAdOx1 nCoV-19 by the Serum Institute of India Pvt Ltd following technology transfer from Oxford University/AstraZeneca. The non-inferiority of SII-ChAdOx1 nCoV-19 with AZD1222 was previously demonstrated in an observer-blind, phase 2/3 immuno-bridging study (trial registration: CTRI/2020/08/027170). In this analysis of immunogenicity and safety data 6 months post first vaccination (Day 180), 1,601 participants were randomized 3:1 to SII-ChAdOx1 nCoV-19 or AZD1222 (immunogenicity/reactogenicity cohort  = 401) and 3:1 to SII-ChAdOx1 nCoV-19 or placebo (safety cohort  = 1,200).

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  • The study assessed mental health and cognition in patients with chronic diseases visiting the Emergency Department, using tools like the WHO well-being Index, Six-item screener, and CLOX-1 test.
  • Chronic diseases were especially common in individuals aged 51-70, with diabetes being the most prevalent, and significant symptoms like fever and gastrointestinal bleeding were noted.
  • Results showed that lower mental well-being scores were linked to poorer cognitive assessments, highlighting the importance of evaluating mental health even in patients with cognitive impairments in the ED.
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To explore a rare case of Garre's osteomyelitis in an adult, typically observed in children, and detail its diagnostic and treatment approach, we conducted a case study of a 40-year-old male presenting with persistent right tibial pain. Through diagnostic procedures, including radiography and MRI, a broad differential diagnosis was established. Histopathological examination post-surgical intervention confirmed Garre's osteomyelitis.

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