1,400 results match your criteria: "Department of VMMC & Safdarjung Hospital[Affiliation]"

Background This study aimed to evaluate tumor-infiltrating lymphocytes (TILs) as predictors of response to neoadjuvant chemotherapy (NACT) in patients with locally advanced breast cancer (LABC). Methods Overall, 35 patients with LABC were included in the study. Information on demographic profile, medical history, and signs and symptoms was collected for each patient, and a complete clinical evaluation was conducted, which involved physical examination, imaging studies (mammogram/ultrasound imaging), biopsy of each patient, and a metastatic workup.

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Aggressive bone tumours: what a radiologist can offer to the surgeon?

Br J Radiol

January 2025

Department of Diagnostic and Interventional Radiology, AIIMS Rishikesh, 249203, India.

The management of aggressive bone tumours requires a multidisciplinary approach, with radiologists playing a central role alongside clinicians and pathologists. Radiologists contribute significantly to diagnosing benign and some aggressive tumours, although complex cases often need histopathological confirmation. Their expertise in tumour characterization and extension assessment is crucial for treatment planning.

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Aspiration of scarf pins is a common problem in specific geographical locations where the Muslim population is high, especially in countries like Egypt, Bangladesh, Middle Eastern countries, and certain regions in India. This condition is also referred to as hijab-pin syndrome. We discuss the largest experience of flexible bronchoscopic extraction of aspirated scarf pins from the tracheobronchial tree.

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Diffuse alveolar hemorrhage (DAH) is characterized by a syndrome of alveolar bleeding, a fall in hemoglobin, and respiratory failure. It can occur because of various immunologic and non-immunologic conditions. The etiology of DAH is important, as treatment varies with the etiology.

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Cervical cancer (CC) is one of the highest prevailing causes of female cancer-related mortality globally. A significant discrepancy in incidence has been noted between high and low-middle-income countries. The origins of CC have been accredited to the human papillomavirus (HPV) with serotypes 16 and 18 being the most prevalent.

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Article Synopsis
  • - Hypertensive disorders of pregnancy, particularly pre-eclampsia (PE), are major health risks for mothers and babies, with varying prevalence in places like India and significant long-term health implications for women.
  • - This clinical trial explores the effectiveness and safety of two aspirin doses (75 mg vs 150 mg) in preventing preterm pre-eclampsia in high-risk women, enrolling 370 participants who will take the medication until 37 weeks of pregnancy.
  • - The findings aim to optimize aspirin use for prevention, contribute to evidence-based guidelines, and assess both maternal and fetal health outcomes, potentially improving clinical practices surrounding pregnancy care.
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  • A study was conducted to compare the effectiveness of two different nerve blocks—suprainguinal fascia iliaca compartment (SFIC) block and pericapsular nerve group (PENG) block—for managing pain and cognitive function after hip and proximal femur surgery.
  • The research involved 66 patients, who were divided into two groups to receive one of the blocks post-surgery, and various metrics such as pain levels, muscle strength, and cognitive function were assessed.
  • Results showed that the PENG block provided better pain relief and reduced opioid use compared to the SFIC block, while both groups displayed similar levels of cognitive impairment.
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Gluconephrotic Syndrome: A Comprehensive Review.

J Assoc Physicians India

October 2024

Senior Consultant, Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.

This article provides an overview of the diabetic kidney disease paradigm, explaining important aspects such as prognostic markers, clinical assessments, and therapeutic options. The importance of the term gluconephrotic syndrome (GlucoNS) is emphasized, highlighting its significant influence on clinical evaluations, research procedures, screening techniques, and patient care. This term encapsulates nephrotic syndrome (NS) within the diabetic milieu, shedding light on the intricate relationship between renal complications and diabetes.

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  • The study aimed to assess thyroid nodules using sonoelastography and MRI, involving 28 patients with 40 nodules while excluding certain conditions and past surgeries.
  • Results indicated a strong correlation between Rago scores and malignant nodules, with a specific mean strain ratio cutoff predicting 100% specificity for malignancy.
  • The conclusion highlighted that sonoelastography is an effective noninvasive technique for predicting outcomes, whereas MRI serves better as a supplementary problem-solving tool rather than a primary imaging method.
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Objective: In high HIV-burden countries like Uganda, financing and resource allocation for HIV services have rapidly evolved. This study aimed to employ time-driven activity-based costing (TDABC) to examine the allocation of resources and associated costs for HIV care throughout the country.

Design: A cross-sectional study.

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  • This study investigates feto-maternal outcomes for women with preterm prelabor rupture of membranes (PTPROM), comparing outcomes of those managed expectantly until 37 weeks versus those delivered at 34 weeks.
  • It involved 262 women and tracked various health markers to evaluate the effects of delayed delivery and maternal inflammation on newborn outcomes.
  • Results showed comparable rates of chorioamnionitis, neonatal sepsis, and early neonatal death across both groups, suggesting that management strategies for PTPROM may not significantly alter these outcomes.
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  • A 65-year-old male with serious heart issues and risk factors underwent elective surgery for a hernia and related procedure.
  • The anaesthetic team used nerve blocks to reduce pain and cardiac stress during the operation.
  • This method helped keep the patient's heart stable and ensured a successful outcome for the surgery.
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Chronic Osteomyelitis Following Foreign Body Entrapment in Pediatric Mandible-a Case Reprt.

Indian J Otolaryngol Head Neck Surg

October 2024

Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung hospital, New Delhi, India.

Article Synopsis
  • - Chronic osteomyelitis in kids, often caused by foreign objects like nails in the mandible, can lead to serious issues such as pus discharge and infection.
  • - A case study highlighted a 12-year-old boy who had an iron nail embedded near a decayed tooth, which was found using radiographic imaging.
  • - Effective treatment and good healing were achieved, underscoring the importance of preventive measures, including parent education and teamwork among healthcare professionals.
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Tuberculosis is a common occurrence in developing countries. Drug resistance, co-morbidities, and limited availability of new rapid tests such as the GeneXpert/MTB Rif assay make diagnosis and treatment of extrapulmonary tuberculosis burdensome. A cross-sectional study was carried out at Employees' State Insurance Corporation Medical College and Hospital, Faridabad, Haryana of patients treated for tubercular cervical lymphadenopathy from December 2021 to March 2023 in the department of ENT.

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The accurate diagnosis and identification of species are crucial for the therapeutic selection and effective treatment of leishmaniasis. This study aims to develop and evaluate the use of high-resolution melting curve analysis (HRM)-PCR for species identification causing visceral leishmaniasis (VL), post-kala-azar dermal leishmaniasis (PKDL) and cutaneous leishmaniasis (CL) in the Indian subcontinent. Two multi-copy targets (ITS-1 and 7SL-RNA genes) were selected, and an HRM-PCR assay was established using , , and standard strain DNA.

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Background and objective Radiation therapy plays a significant role in the radical treatment of locally advanced head and neck cancers. Studies have shown the radiobiological advantage of accelerated chemoradiation over conventional chemoradiation as it reduces the chances of accelerated repopulation and decreases overall treatment time. This study aimed to assess the response and toxicities of accelerated concomitant chemoradiation in locally advanced head and neck cancer patients.

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Article Synopsis
  • Ultrasonography (USG) is used to diagnose and manage carpal tunnel syndrome (CTS), especially for patients with severe cases.
  • Surgical options for CTS include open or endoscopic release of the transverse carpal ligament, which can now be done more safely due to improved USG technology.
  • The text discusses a technical approach for performing a percutaneous thread carpal tunnel release using surgical-grade thread.
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Objective: The objective during the obturator fabrication (interim or definitive) should be to reduce the weight of the obturator prosthesis. This is because the increased weight of the maxillary obturator is detrimental to the success of the prosthesis due to decreased retention (pulled by gravity), constant rubbing of prosthesis on mucosa and increased patient discomfort.

Design And Interventions: Of the many simple baby-steps to ensure enhanced retention of the prosthesis, a simple method to reduce the weight has been described using the subtractive technique of obturator fabrication.

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  • The study investigates the prevalence of undiagnosed HIV and schistosomiasis among fishermen in Malawi, aiming to evaluate integrated interventions for both conditions in lakeside communities.
  • It employed a three-arm, cluster-randomized trial design involving male fishermen to compare different methods of promoting healthcare services—enhanced standard care, peer education, and peer distribution education.
  • The outcomes measured included the rate of schistosomiasis and the uptake of HIV treatments and circumcision, with a focus on achieving these goals within 28 days post-intervention.
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Unlabelled: Malaria is one of the most infectious disease that affects lives of million people throughout the world. Recently, there are several reports which indicate causing severe disease in infected patients from different parts of the world. For disease severity, the data related to immunological and inflammatory status in human host is very limited.

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Introduction: Multiple HIV Prevention Cascades (HPC) formulations have been proposed to assist advocacy, monitoring of progress of HIV prevention implementation and research to identify ways to increase use of HIV prevention methods. Schaefer and colleagues proposed a unifying formulation suitable for widespread use across different populations which could be used for routine monitoring or advocacy. Robust methods for defining and interpreting this HPC formulation using real world data is required.

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Handling false chronic kidney disease and diabetes treatment information.

J Pak Med Assoc

September 2024

Department of Endocrinology, Bharti Hospital, Karnal, India University Center for Research & Development, Chandigarh University, India.

Article Synopsis
  • The rise of misleading information about chronic kidney disease (CKD) and diabetes from unqualified sources complicates access to accurate medical advice for patients.
  • This misinformation delays referrals to specialists like nephrologists and endocrinologists, worsening patient outcomes.
  • The communication outlines the challenges posed by this issue and suggests actionable steps for stakeholders and policymakers to address it promptly.
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Navigating the landscape of HPV-associated cancers: From epidemiology to prevention.

Pathol Res Pract

November 2024

Department of Pathology, HIMSR, Jamia Hamdard, New Delhi, India.

Human Papillomavirus (HPV) is a widespread infection associated with various cancers, including cervical, oropharyngeal, anal, and genital cancers. This infection contributes to 5 % of global cancer cases annually, affecting approximately 625,600 women and 69,400 men. Cervical cancer remains the most prevalent HPV-linked cancer among females, with the highest incidence seen in low and middle-income countries (LMICs).

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Background: In resource-limited facilities, the greatest number of unfavorable maternal-fetal outcomes at referral hospitals is chronicled from emergency obstetric referrals of critically ill patients from lower health facilities. An efficient obstetric referral system is thus necessitated for improving maternal health. Referral practices have not been optimized effectively till date, owing to paucity of a detailed profile of referred women and indigenous barriers encountered during implementation process.

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