1,143 results match your criteria: "ESIC Medical College & Hospital[Affiliation]"

This review explores the critical role of the human microbiome in neurological and neurodegenerative disorders, focusing on gut-brain axis dysfunction caused by dysbiosis, an imbalance in gut bacteria. Dysbiosis has been linked to diseases such as Alzheimer's disease, Parkinson's disease (PD), multiple sclerosis (MS), and stroke. The gut microbiome influences the central nervous system (CNS) through signaling molecules, including short-chain fatty acids, neurotransmitters, and metabolites, impacting brain health and disease progression.

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The retrospective study by Lei is an investigation of the relationship between age and subfoveal choroidal thickness (SFCT) in Chinese patients with proliferative diabetic retinopathy. Elements of the study design prevent the generalizability of the study findings, limiting their clinical implications. We recommend consideration of stricter eligibility criteria, other variables like duration of diabetes, interpretation of gender-differences in SFCT, longitudinal follow-up, use of newer choroidal flow indices, comparison of values with normal controls, subgroup analysis to determine the effect of prior treatment, as well as consideration of various real-world scenarios in future studies.

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Objective: To evaluate role of rajyoga meditation (RYM) versus stress management counselling (SMC) in addressing burnout syndrome and resultant improvement in electrocardiogram (ECG) so as to automate burnout prediction from raw ECG data with machine learning (ML).

Methods: Healthcare providers were assigned to two groups: RYM (n = 100) or SMC (n = 102). Subjects in RYM received rajyoga for 3 months including one week offline and thereafter, virtual mode.

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  • Preterm labor occurs between 20 and 37 weeks of gestation and is linked to high rates of neonatal complications; urinary tract infections (UTIs) are a major risk factor for spontaneous preterm births, with studies suggesting that 40% of cases are associated with infections.
  • A cross-sectional study of 144 antenatal women at Sri Ramachandra Medical College examined the relationship between spontaneous preterm labor and genitourinary tract infections by collecting urine and vaginal samples for testing, and assessing various maternal and neonatal factors.
  • Results showed that 24% of participants tested positive for UTIs, mainly women aged 25-29 from lower socioeconomic backgrounds, and UTI positivity correlated with higher white blood cell counts and CR
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Limited literature exists regarding specific pharmacological treatments for COVID-19-associated brain fog (BF) syndrome. One previous study using bupropion lacked objectivity. In this multiple baseline case series study, methylphenidate was used in treating post-COVID BF syndrome.

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  • This systematic review and meta-analysis aimed to explore the link between H. pylori found in dental plaque and gastric H. pylori infection.
  • After analyzing data from 27 studies involving 2408 participants, results indicated a significant association with an odds ratio of 3.80, suggesting higher gastric infections in those with H. pylori in dental plaque.
  • The findings highlight the potential role of dental plaque as a reservoir for H. pylori, which could impact strategies for managing gastric infections, despite the overall evidence certainty being low.
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Cardiovascular Health and Adverse Pregnancy Outcomes in Autoimmune Rheumatic Diseases.

J Rheumatol

November 2024

V. Ravindran, MD, Centre for Rheumatology, Calicut, Kerala, and Department of Medicine, Kasturba Medical College, MAHE, Manipal, Karnataka, India.

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Assessment of early neonatal practices to prevent hypothermia ; A comparative study.

F1000Res

November 2024

Professor, Department of Paediatrics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.

Background: Globally, neonatal deaths are significantly attributed to hypothermia. This is mostly because of its co-morbidity with asphyxia, premature birth and severe neonatal infections. Worldwide, neonatal hypothermia case fatality rates (CFRs) range from 8.

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Background: Rotator cuff tears can lead to debilitating shoulder function and impairment. Rotator cuff repair aims to eliminate pain and improve function with increased shoulder strength and range of motion. This study evaluated the differences between all-arthroscopic (AA) and mini-open (MO) repair procedures for rotator cuff tendon tears regarding clinical and functional outcomes.

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Background: Menopause, characterized by cessation of menstruation, is accompanied by various physiological and psychological changes. This randomized controlled trial (RCT) investigated the efficacy of a multi-domain lifestyle modification program in alleviating menopausal symptoms and promoting health behaviors among postmenopausal women residing in urban slums of Hyderabad, India.

Methods: Eighty-two women aged 45-60 years experiencing menopausal symptoms were recruited.

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Article Synopsis
  • The study aimed to assess the relationship between fibroid vascularization and heavy menstrual bleeding (HMB) using 3D power Doppler and superb microvascular imaging (SMI) in 75 women, dividing them into those with HMB and those without.
  • Results revealed that women with HMB had significantly higher flow rates (peak systolic and end-diastolic velocities) and lower resistance indices in the dominant fibroid's feeding vessel compared to those without HMB.
  • SMI analysis showed a stark contrast in vascularity grades, with 72% of women with HMB exhibiting higher vascularity compared to only 4% in the non-HMB group, highlighting the association between fibroid vascularity and HMB.
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Source localization in EEG necessitates co-registering the EEG sensor locations with the subject's MRI, where EEG sensor locations are typically captured using electromagnetic tracking or 3D scanning of the subject's head with EEG cap, using commercially available 3D scanners. Both methods have drawbacks, where, electromagnetic tracking is slow and immobile, while 3D scanners are expensive. Photogrammetry offers a cost-effective alternative but requires multiple photos to sample the head, with good spatial sampling to adequately reconstruct the head surface.

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Introduction: Preeclampsia (PE) is a serious pregnancy complication with an unclear cause. Recent studies suggest that microRNAs (miRNAs), particularly miR-1, may play a role in controlling the genes associated with this condition. This study aimed to compare the expression of miRNAs in the blood and placental tissues of women with PE to those with normal pregnancies.

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The letter to Editor is regarding an article by Pringle et al., 2023 which presents the histological and immunohistochemical characterization of the submucosal seromucous gland conglomerate at the nasopharyngeal end of the auditory tube (AT) and compares the same with the major and minor salivary glands, while trying to substantiate the claims of a previous work by Valstar et al., 2021.

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Background: By 2023, COVID-19 had caused 6.8 million deaths in the United States. COVID-19 presents more severely in leukemia compared to solid tumors (OR 1.

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Objective: This study functional endoscopic sinus surgery (FESS) is a surgical procedure requiring minimal bleeding to optimize the surgical field. This study aimed to evaluate the effectiveness of magnesium sulfate, lignocaine, and propofol in attenuating hemodynamic response. The primary objective of this study was to compare the efficacy of these agents in reducing hemodynamic response.

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  • The abdomen is commonly affected in trauma cases, with blunt trauma being more dangerous than penetrating trauma, often leading to serious outcomes.
  • Diagnostic challenges in blunt abdominal trauma can result in delayed treatment, increasing the risk of morbidity and mortality, especially for hollow viscus and mesenteric injuries.
  • A case study highlights a 48-year-old male with a mid-ileal mesenteric tear and perforation who was treated successfully after a 96-hour delay post-injury through laparotomy and primary anastomosis.
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We present an uncommon pathology of Boerhaave's syndrome and its fatal outcome in a 77-year-old man who presented to the emergency room with loss of consciousness and a history of chronic cough that had increased in intensity over the past week. Radiological investigations revealed bilateral pleural effusion, initially pointing to a transudative aetiology. Diagnostic pleural aspiration showed an exudative effusion with high amylase, and an intercostal drainage tube was inserted for the left massive effusion.

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The Nipah Virus (NiV) was discovered in 1999 in the Sungai Nipah region of Malaysia. It is one of many emerging bat-borne zoonotic viruses that threaten global health security. The Pteropus fruit bats are identified as the natural reservoirs for the virus.

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Article Synopsis
  • - The Nipah virus, first discovered in Malaysia in 1998, has caused 25 outbreaks in South Asia, leading to 429 cases and 307 deaths, with no approved treatments available.
  • - A systematic review analyzed 12 studies on Nipah virus cases, highlighting common symptoms like fever, myalgia, and respiratory distress, with a mortality rate of 73.9%.
  • - Early diagnosis and treatment are essential to mitigate the severe impacts of the Nipah virus, as the most common diagnostic method is RT-PCR and transmission primarily occurs through direct contact with infected individuals.
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Background: Urbanization, sedentary lifestyles, and dietary changes have all contributed to an increase in the prevalence of metabolic syndrome (MetS) in Indian populations during the past 10 years. Numerous markers have been investigated to determine if a person is at risk for developing MetS, with the bulk of them having to do with adipose tissue. Recently, adiponectin and leptin, two biomarkers with a high correlation to cardiometabolic health or disease, are of particular interest.

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Background: The metabolic syndrome (MetS), according to the Adult Treatment Panel III of the National Cholesterol Education Programme, is a collection of metabolic abnormalities that includes one, two, or all three of the following traits: obesity in the abdomen, dyslipidemia, hypertension, fasting blood sugar, or insulin resistance. This study's aim was to assess the relationship between fasting serum leptin and MetS in elderly adults with T2DM in the Northern Indian population.

Material And Methods: The following information was collected from all the participants: (1) anthropometric data, (2) biochemical data, and (3) a lifestyle questionnaire on sociodemographic data, dietary practices, smoking, and alcohol intake to identify their risk factors for diabetes mellitus, CVD, and hypertension.

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