377 results match your criteria: "DR. B.R.A. Institute Rotary Cancer Hospital[Affiliation]"

Purpose: Response to neoadjuvant chemotherapy in form of tumor necrosis predicts outcome in osteosarcoma; although response-adapted treatment escalation failed to improve outcome among patients treated with high-dose methotrexate-based (HDMTx) chemotherapy. This study aimed to identify factors predicting tumor necrosis and its impact on survival among patients with non-metastatic osteosarcoma treated with a response-adapted non-HDMTx regimen.

Methods: A retrospective single-institutional study was conducted among non-metastatic osteosarcoma patients treated with neoadjuvant therapy between 2004-2019.

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Purpose: Telemedicine use in healthcare is rising. However, infrastructural barriers may impede implementation in lower- and middle-income country settings. Patient perspectives regarding teleconsultation need to be explored.

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LncRNAs SOX2-OT and NEAT1 act as a potential biomarker for esophageal squamous cell carcinoma.

Discov Oncol

November 2024

Non-Coding RNA and Cancer Biology Laboratory, Department of Zoology, Central University of Punjab, Bathinda, Punjab, 151401, India.

Despite strides in diagnostic and therapeutic approaches for ESCC, patient survival rates remain relatively low. Recent studies highlight the pivotal role of long non-coding RNAs (lncRNAs) in regulating diverse cellular activities in humans. Dysregulated lncRNAs have emerged as potential diagnostic indicators across various cancers, including ESCC.

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Background: Prostate cancer (PCa) is not well understood because of its enormous biological heterogeneity and unreliable progression. We conducted this retrospective analysis to examine the variables predicting early and late progression to castration-resistant PCa (CRPC) for better management of this disease.

Methods: This single institutional retrospective study was conducted from January 2018 to January 2022.

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Antimicrobial resistance (AMR) poses a critical threat to global public health, necessitating the development of novel strategies. AMR occurs when bacteria, viruses, fungi, and parasites evolve to resist antimicrobial drugs, making infections difficult to treat and increasing the risk of disease spread, severe illness, and death. Over 70% of infection-causing microorganisms are estimated to be resistant to one or several antimicrobial drugs.

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Objective was to assess the precision and reproducibility of spatial penalty-based intravoxel incoherent motion (IVIM) methods in comparison to the conventional bi-exponential (BE) model-based IVIM methods. IVIM-MRI (11 b-values; 0-800 s/mm) of forty patients (N = 40; Age = 17.7 ± 5.

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Introduction: Prostate cancer is one of the most prevalent malignancies affecting men globally, with a significant impact on health-related quality of life (HRQOL). With the recent therapeutic advancements and improvements in survival, there is a need to understand the determinants of HRQOL in metastatic prostate cancer patients to optimize treatment strategies for quality of life as the number of survivors increases. The aim of this study was to identify clinical variables that affect HRQOL and its domains in patients with metastatic prostate cancer.

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The progression of gallbladder inflammatory lesions to invasive cancer remains poorly understood, necessitating research on biomarkers involved in this transition. This study aims to identify and validate proteins associated with this progression, offering insights into potential diagnostic biomarkers for gallbladder cancer (GBC). Label-free liquid chromatography-assisted tandem mass spectrometry (LC-MS/MS) proteomics was performed on samples from ten cases each of GBC and inflammatory lesions, with technical duplicates.

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During the past two decades, significant advances have been made in the discovery and development of targeted inhibitors aimed at improving the survival rates of cancer patients. Among the multitude of potential therapeutic targets identified thus far, Receptor Tyrosine Kinases (RTKs) are of particular importance. Dysregulation of RTKs has been implicated in numerous human diseases, particularly cancer, where aberrant signaling pathways contribute to disease progression.

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Article Synopsis
  • Eyelid sebaceous gland carcinoma (SGC) is a serious cancer, typically treated through surgical excision, but this study looked at the impact of neoadjuvant chemotherapy (NACT) on treatment outcomes.
  • Over a 24-month period, 30 patients were evaluated, with 10 receiving NACT, which resulted in a 90% regression rate of tumors and some downstaging.
  • Despite significant tumor shrinkage, the perceived ease of surgery improved for only 40% of patients, indicating the need for adjustments in surgical approaches when using NACT.
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Breast cancer (BC) has emerged as the most common malignancy among females. The genomic profile of BC is diverse in nature and complex due to heterogeneity among various geographically different ethnic groups. The primary objective of this study was to carry out a comprehensive mutational analysis of Indian BC cases by performing whole exome sequencing.

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Background: Tobacco usage is a major global public health concern, contributing to millions of deaths annually. This study focuses on security guards, an occupational group facing unique challenges, to investigate tobacco prevalence, usage patterns, and associated oral health risks.

Methods: A cross-sectional study was conducted among security guards at a Tertiary Health Care Centre, from October 2022 to February 2023.

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Purpose: Incorporating adjuvant cyclin-dependent kinase (CDK) 4/6 inhibitors abemaciclib and ribociclib along with endocrine therapy has been shown to improve invasive disease-free survival (iDFS) for hormone receptor-positive (HR+) human epidermal receptor 2-negative (HER2-) early breast cancer (EBC). This study assesses the cost-effectiveness of this strategy, along with adjuvant aromatase inhibitors from an Indian perspective.

Methods: A Markov chain model evaluated the cost-effectiveness of abemaciclib and ribociclib with letrozole compared with letrozole alone for HR+/HER2- EBC from a payer perspective in India.

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Sclerosing epithelioid fibrosarcoma (SEF) and low-grade fibromyxoid sarcoma (LGFMS) constitute a morphological continuum with certain overlapping histopathological features and MUC 4 immunopositivity. SEF is characterized by EWSR1 gene rearrangement, is relatively more aggressive and shows a limited response to chemotherapy. Lately, a subset of tumors with morphological features of SEF, but lacking MUC4 immunostaining and EWSR1 gene rearrangement have been observed.

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Article Synopsis
  • - Managing chemotherapy-induced nausea and vomiting (CINV) in children is complicated due to variations in chemotherapy types, their emetic potential, and differences in how children process medications compared to adults.
  • - Common anti-emetics for CINV in kids include dexamethasone, neurokinin-1 receptor antagonists, 5HT3 receptor antagonists, and olanzapine, with discrepancies in dosing and formulations leading to challenges, especially for younger children.
  • - Newer agents like olanzapine show promise but come with potential side effects, while careful consideration of drug interactions—especially concerning safety risks like QTc prolongation—is essential in treatment planning.
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The global spread of COVID-19 has led to significant mortality and morbidity worldwide. Early identification of COVID-19 patients who are at high risk of developing severe disease can help in improved patient management, care, and treatment, as well as in the effective allocation of hospital resources. The severity prediction at the time of hospitalization can be extremely helpful in deciding the treatment of COVID-19 patients.

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Management of Extraocular Retinoblastoma: ICMR Consensus Guidelines.

Indian J Pediatr

November 2024

Department of Medical Oncology, Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

Article Synopsis
  • - Retinoblastoma (RB) is the most common eye cancer in children, and its advanced stages are often seen in low and middle-income countries (LMICs) due to factors like lack of awareness and limited healthcare access.
  • - Significant advancements in treating extraocular retinoblastoma (EORB) have been made, focusing on reducing treatment toxicity through the use of chemotherapy, surgery, and radiotherapy.
  • - The article discusses ICMR consensus guidelines for managing EORB and metastatic RB, highlighting ongoing challenges and the generally poor prognosis in LMICs.
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Introduction: Hand foot skin reaction (HFSR) is a common dose-limiting adverse effect of multi kinase inhibitors (MKI) whose mechanism is not fully understood, and the prophylaxis is inadequate.

Objective: In this pilot study, a double-blind, randomized placebo-controlled trial was conducted to evaluate the effect of topical urea in secondary prevention of sunitinib-induced HFSR in renal cell cancer patients.

Methods: Out of 55 screened patients, 14 were randomized to receive topical urea or placebo for four weeks.

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Management of Intraocular Retinoblastoma: ICMR Consensus Guidelines.

Indian J Pediatr

November 2024

Department of Medical Oncology, Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

Article Synopsis
  • Retinoblastoma (RB) is the most common eye cancer in children, but many cases are diagnosed late in low-middle income countries due to a lack of awareness.
  • Recent treatment advancements, like systemic and targeted chemotherapy, have improved outcomes, but their use remains limited in LMICs due to cost and accessibility issues.
  • The article discusses the ICMR consensus guidelines for managing advanced intraocular RB, emphasizing the importance of considering treatment costs, risks, and parental discussions in decision-making.
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Nebulised/aerosolised drugs in anaesthesiology, critical care and pain practice-benefit with a professional hazard!

Indian J Anaesth

April 2024

Department of Onco-Anaesthesia and Palliative Medicine, Dr. B. R. A. Institute Rotary Cancer Hospital and National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.

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Article Synopsis
  • * A questionnaire with 24 questions (14 focused on knowledge and 10 on attitude) was distributed to nursing and medical students, as well as postgraduate residents across three hospitals, assessing their understanding of long-term effects and psychosocial issues faced by survivors.
  • * Results showed that out of 898 participants, the average knowledge score was 8.72 out of 14, with postgraduate medical residents scoring higher than their undergraduate peers, indicating a significant gap in knowledge among healthcare providers in LMICs regarding survivorship care.
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