369 results match your criteria: "Dr. S.N. Medical College[Affiliation]"

Genetic and allelic heterogeneity in 248 Indians with skeletal dysplasia.

Eur J Hum Genet

December 2024

Department of Medical Genetics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.

Skeletal dysplasias are a clinically and genetically heterogeneous group of rare disorders. Studies from large cohorts are essential to provide insights into the disease epidemiology, phenotypic spectrum, and mutational profiles. Here we enumerate additional 248 Indians from 197 families with a skeletal dysplasia, following a similar study earlier.

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Following the outbreak of coronavirus in Wuhan, China in 2019, there has been multiple waves of different variants of COVID-19 throughout the world in the continuum of a pandemic. This study aims to compare different clinical and laboratory parameters of hospitalized patients in Omicron-driven 3rd wave vs Delta-driven 2nd wave in India. This was a retrospective cross-sectional observational study that was done in the Department of General Medicine, Mahatma Gandhi Hospital, Dr S N Medical College, Jodhpur (Rajasthan).

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  • * A quality improvement project used educational boot camps and standardized checklists to boost VB compliance from 40.7% to over 90%, which significantly reduced VAP incidence from 62.4 to 25.7 cases per 1,000 ventilatory days.
  • * The success of this project shows that structured quality improvement efforts can effectively enhance compliance and lower VAP rates, emphasizing the need for ongoing education and monitoring to maintain these results.
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  • The study compares two insertion methods for the LMA Blockbuster in children: blind insertion versus Miller laryngoscope-guided insertion, focusing on oropharyngeal leak pressure (OPLP) as the primary outcome.
  • Results showed that guided insertion had a significantly higher mean OPLP (27.9 cmHO) compared to blind insertion (25.94 cmHO), indicating better airway positioning.
  • While guided insertion took longer (11.9 seconds) than blind insertion (8.7 seconds), there were no significant differences in first-attempt success, haemodynamic stability, or postoperative complications.
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Purpose: The purpose of this study was to assess serum homocysteine levels and their relationship with serum vitamin B12, folate, and ferritin levels in transfusion-dependent thalassemic children. This study was proposed due to a paucity of literature regarding the status of homocysteine levels in thalassemic children and their relationship with the levels of vitamins and iron overload (serum ferritin values).

Methodology: A descriptive observational study was conducted on transfusion-dependent thalassemic children aged 1-18 years, who were registered at the Thalassemia Day Care Centre (TDCC), Umaid Hospital, Dr.

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Background And Aims: Labor pain is consistently ranked high on the various pain rating scales, when compared to other painful life experiences, and the experience of labor during the process of childbirth is both complex and subjective. Though patient-controlled epidural analgesia (PCEA) using dilute concentrations of local anesthetics (LAs) has been a popular method to control labor pain, yet the optimal dose and regimen for PCEA remain ambiguous. So, the present study was undertaken to evaluate the safety and efficacy of three different concentrations of ropivacaine for labor analgesia using PCEA.

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  • Diabetes mellitus is linked to high blood sugar and insulin issues, often associated with obesity, wherein the protein vaspin may play a role in insulin sensitivity and metabolic health.
  • A study conducted with 125 participants, including healthy individuals, obese, and non-obese patients with diabetes, utilized standard tests to analyze insulin and vaspin levels.
  • Results indicated that obese patients with diabetes had significantly higher insulin and vaspin levels, suggesting a strong connection between these biomarkers and obesity-related diabetes, pointing to vaspin as a potential tool for improving diabetes management and outcomes.
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Background: Iron deficiency remains one of the globally recognized leading causes of morbidity and mortality in children, among developing countries like India as compared to the Western world.

Objective: To estimate the prevalence of iron deficiency anemia (IDA) and iron deficiency without anemia (IDWA) among malnourished children.

Methods: This cross-sectional study was conducted in the Department Of Pediatrics, Tertiary Care Hospital, Western Rajasthan.

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Background And Aims: Anesthesiologists' services extend to many critical areas of any healthcare setup. However, there needs to be more understanding among the public regarding their crucial role. Preanesthesia evaluation (PAE) visits can disseminate information about anesthesiologists and services.

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  • * Fifty students were divided into two groups, with one group trained on a blue phantom and the other on a human cadaver, after which their skills were evaluated during a practical block performance on patients.
  • * Results showed that students trained on cadavers had faster block performance times and better overall outcomes, including image quality and fewer errors, proving cadaver training is superior for teaching ultrasound-guided regional anesthesia.
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Introduction: Postoperative Ileus (POI) negatively impacts patient outcomes and increases healthcare costs. Transcutaneous electrical nerve stimulation (TENS) has been found to improve gastrointestinal (GI) motility following abdominal surgery. However, its effectiveness in this context is not well-established.

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Objective: To evaluate the influence of variations in the upper sulcus depth, nasal tip protrusion, and nasolabial angle on the esthetic perception of profiles.

Design: A web-based survey study and was conducted in the Department of Orthodontics and Dentofacial Orthopaedics. This survey was conducted for a period of 10 months and included orthodontists practicing in India.

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  • Smokeless tobacco (SLT) consumption involves chewing and spitting tobacco, which can lead to serious oral health issues, including malignant and pre-malignant lesions.
  • A study in Jodhpur revealed that older adults and long-term users are more likely to develop oral lesions, with oral submucous fibrosis being the most common issue found.
  • The findings emphasize the importance of raising awareness about the dangers of SLT, as well as the need for early diagnosis and management to prevent severe health consequences.
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Novel approach of plate assisted buttressing in Hoffa fracture.

Chin J Traumatol

February 2024

Department of Orthopaedics, Rehabilitation & Research Centre, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.

Purpose: Hoffa fracture is a femoral condyle fracture in the coronal plane. The lateral condyle is more commonly involved. The diagnosis is often difficult to detect with routine radiographs.

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Background: Hernioplasty, in which a mesh is used to strengthen a weakness or defect in the inguinal wall, has replaced simple tissue repair. As it is associated with low recurrence, it is considered the gold standard and is one of the most common general surgical procedures. The ideal repair should be rapid, safe and simple to do, requires minimal dissection to create sufficient space, be cost-effective and be accompanied by a brief hospital stay, reduced pain, and fewer recurrences.

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ROCM is an invasive fungal infection that has seen a substantial rise in the post covid-19 patients. Here we present an intriguing case of ROCM existing as a coinfection with MDR-TB.

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Among the various regional anesthesia techniques used for postoperative analgesia in the modified radical mastectomy (MRM), thoracic paravertebral block (TPVB) is presently considered the technique of choice. Nevertheless, TPVB may lead to complications like inadvertent vascular puncture, hypotension, epidural or intrathecal spread, pleural puncture, or pneumothorax. Recently, a newer technique "midpoint transverse process to pleura" (MTP) block has been described in which the tip of the needle is placed at the midpoint between the transverse process and pleura.

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Context: Molluscum contagiosum (MC) typically presents as asymptomatic or itchy, discrete, smooth, flesh-colored, dome-shaped papules with central umbilication. Lesions on the genitals are often sexually transmitted and tend to be seen in young adults. Homologous auto implantation is a simple technique which helps in inducing a cell-mediated immune response to the antigens, aiding clearance of both local and distant lesions.

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  • * A case study details a 60-year-old man suffering from upper abdominal pain and vomiting (but no jaundice), who was found to have a left lobe hepatic hydatid cyst with IBR.
  • * The patient underwent a left hepatectomy with bile duct exploration, emphasizing that while the disease is usually benign, severe cases may require significant surgical intervention.
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Background: Internet addiction was found to be associated with a variety of psychosocial problems, including academic failure, low self-esteem, poor diet, mental disorders like depression and anxiety, sleep deprivation, and social withdrawal.

Objective: To determine the prevalence and risk factors of internet addiction and evaluate the impact of internet socialization on professional, academic, social lives and sleep pattern among students and professionals from various fields across India.

Methodology: This cross-sectional, descriptive study was conducted from January 2022 to July 2023 among 772 participants who were aged ≥18 years.

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Background And Aim: Pneumoperitoneum (PP) and the Trendelenburg position (TP) in laparoscopic surgeries are associated with rise in intracranial pressure (ICP). The optic nerve sheath diameter (ONSD) is a surrogate marker of ICP. The study aimed to evaluate the effect of sevoflurane, propofol and propofol with dexmedetomidine as maintenance agent on ICP in TP during laparoscopic surgeries.

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