1,251 results match your criteria: "Fortis hospital[Affiliation]"

"Right Lower Lobe Lung Pathology": A Potential Mimic of Pneumoperitoneum.

Indian J Crit Care Med

December 2024

Department of Critical Care, Sarvodaya Hospital and Research Center, Faridabad, Haryana, India.

Kumar R, Singh AK. "Right Lower Lobe Lung Pathology": A Potential Mimic of Pneumoperitoneum. Indian J Crit Care Med 2024;28(12):1182-1183.

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Background Wound dehiscence (WD) is a major postoperative complication following abdominal surgeries, particularly exploratory laparotomy. Identifying preoperative risk factors and using predictive tools, such as the Rotterdam Risk Index (RRI), are crucial for early intervention and improving patient outcomes. This study aimed to evaluate the risk factors associated with WD and assess the predictive accuracy of the RRI in a cohort of patients undergoing abdominal surgeries.

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Objective: This study aims to enhance our understanding of the morphological pattern, causes and pathogenesis of meniscal root injuries in the Indian population.

Materials And Methods: Sixty-four patients with meniscus root tears were included in the study. The patients were categorized into two groups based on the location of the meniscus tear: Group 1 ( = 41) comprised patients with lateral meniscus root injury (LMRI), and Group 2 ( = 23) included patients with medial meniscus root injury (MMRI).

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  • A 69-year-old woman, who had hip surgery 20 years prior, reported thigh pain and a limp for the last year.
  • An X-ray showed issues with her hip prosthesis, leading to a one-stage revision surgery due to her poor heart health, after which infection was detected.
  • After receiving antibiotics for six weeks, her condition improved significantly, highlighting the importance of addressing late-onset prosthetic joint infections in areas where they are common.
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Accessory Axillary Breast Management: Is Primary Skin Excision Necessary?

Indian J Plast Surg

December 2024

Department of Plastic Surgery, Fortis Hospital, Richmond Road, Bangalore, Karnataka, India.

Axillary breasts are a common entity with a reported incidence of 2 to 6% in women and 1 to 3% in men. They are more common amongst Asians than Caucasians, namely amongst South East Asians and Indians, with the highest incidence amongst Japanese. While modalities like CoolScupting™, Kybella™ injections, and BodyTite™ have been used by surgeons for management of axillary breasts, the most effective treatment for this condition remains surgical management involving a combination of liposuction of the axillary breast with excision of the gland and skin.

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A Modified Wedge Resection Technique to Achieve Natural Results in Labia Minora Reduction.

Indian J Plast Surg

December 2024

Department of Plastic Surgery, Fortis Hospital, Richmond Road, Bangalore, India.

Aesthetic genital surgeries are on the rise globally. Labia minora reduction, the most common aesthetic genital surgery, can be done either by the edge resection or by the wedge resection techniques. The edge resection technique trims the edge of the labia minora and leads to unnatural results as it does not maintain the color gradation that is naturally present on the inner surface of the labia minora or the minor irregularities that are naturally present in the labia besides posing problems like scar pain at edges during intercourse and chances of overresection.

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Convalescent plasma therapy (CPT) is one of the treatment modalities used for COVID-19. Initial smaller studies showed the usefulness of CPT in COVID-19, but larger studies showed that it is not effective. This is a retrospective observational study conducted between 1st June 2020 and 31st July 2021 at a tertiary hospital in Noida, India.

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Colours of India is an annual cultural phenomenon that transcends the boundaries of professional conferences, uniting endocrinologists through the universal language of music and dance. Since its inception in 2016, this vibrant event has brought together teams from across India and other participating countries, showcasing diverse dance forms while fostering friendships, promoting wellness, and celebrating cultural diversity within the medical community.

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  • The study investigates working memory (WM) impairment in Parkinson's disease (PD) and its connection to altered EEG patterns as a possible indicator of progressing dementia.
  • Three groups were studied: PD patients with early dementia (PDD), those without dementia (PDND), and healthy controls (CON), while they performed a word memorization task to analyze their brain activity.
  • Results showed higher delta and beta power in the PDD group during WM tasks, along with decreased gamma power compared to controls, suggesting potential biomarkers for assessing early WM impairment and dementia progression.
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  • Home time, or the duration patients with cardiovascular disease spend alive outside of healthcare institutions, is an essential aspect of recovery, particularly for heart failure (HF) patients, yet insufficiently studied in India where HF rates are increasing.
  • Current literature falls short in identifying hospital-level trends and predictors of home time, which complicates the development of personalized care strategies to enhance health outcomes, functional status, and reduce hospitalization risks.
  • While guideline-directed medical therapy, especially sacubitril/valsartan (an angiotensin receptor neprilysin inhibitor), is well-supported for improving life quality and reducing HF-related hospitalizations, its use remains low, indicating a critical need for better integration into clinical practice to improve patient recovery and home time post
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  • The text discusses the importance of forecasting future health issues in the USA for effective planning and public awareness regarding disease and injury burdens.
  • It describes the methodology for predicting life expectancy, cause-specific mortality, and disability-adjusted life-years (DALYs) from 2022 to 2050 using the Global Burden of Diseases framework.
  • The forecasting includes various scenarios to assess the potential impacts of health risks and improvements across the country, focusing on demographic trends and health-related risk factors.
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Heart failure (HF) is a significant public health concern characterized by notable rates of morbidity and mortality. Multimorbidity, ranging from 43% to 98% among HF patients, significantly impacts prognosis and treatment response. HF management requires a holistic approach, including guideline-directed medical therapy.

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Indian Trial of Tranexamic acid in Spontaneous Intracerebral Hemorrhage study protocol.

Int J Stroke

January 2025

Indian Council of Medical Research, Non-Communicable Diseases Section, New Delhi, India.

Rationale: Early mortality in intracerebral hemorrhage (ICH) is due to hematoma volume (HV) expansion, and there are no effective treatments available other than reduction in blood pressure. Tranexamic acid (TXA) a hemostatic drug that is widely available and safe can be a cost-effective treatment for ICH, if proven efficacious.

Hypothesis: Administration of TXA in ICH patients when given within 4.

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  • Cardiac magnetic resonance imaging (CMRI) is a noninvasive, highly accurate method for assessing key heart metrics like volume and ejection fraction, essential for diagnosing heart failure.
  • CMRI's advanced imaging techniques, including late gadolinium enhancement, allow for detailed characterization of myocardial tissue, improving diagnostic and prognostic outcomes.
  • This study investigates the effectiveness of CMRI in diagnosing heart failure and arrhythmias, addressing gaps in current knowledge and enhancing clinical practices.
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  • The study examines the effectiveness of a combined procedure (ACL reconstruction and lateral extra-articular procedure) in treating antero-lateral rotatory instability (ALRI) in kabbadi players, highlighting limited research in this specific sport compared to Western athletics.
  • A total of 93 kabbadi players underwent the combined procedure, with various functional outcome scores recorded at multiple time intervals post-surgery, and complications monitored.
  • Results showed significant improvements in most knee function scores, with 99% of participants returning to sports and only a low re-rupture rate, while complications were primarily mild and related to the lateral extra-articular tenodesis.
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Introduction: ACL tears are the most common injuries in kabaddi, an inherently violent high pivoting and high-velocity direct contact sport. Combined ACL and MCL injuries and combined ACL and ALL injuries have been better understood but there is a lacuna of literature on these combined injuries in kabaddi players and no literature on combined AMRI and ALRI injuries. The present prospective cohort study aims to assess knee outcomes and return to sport for these injuries in elite kabaddi players.

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Lateral meniscus posterior root tears (LMPRTs) are radial tears that occur within 10 mm of the posterior root tibial connection, also known as lateral meniscus posterior root avulsions. A common surgical approach for LMPRT (2) that contributes to positive biomechanical outcomes is independent transtibial pullout repair.(6,7,8) If this treatment is performed on people who need both LMPRT repair and ACL restoration, an extra tibial tunnel is required.

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Mini-LET: A Technique Note.

Indian J Orthop

November 2024

Department of Orthopaedics, Fortis Hospital Mohali, Punjab, 160022 India.

Lateral extra-articular tenodesis (LET) has shown an upswing in popularity since the role of antero-lateral rotatory instability (ALRI) in ACL tears has become better understood. Its primary aim is to restore antero-lateral rotatory stability and hence reduce stresses placed on the ACL graft in high-risk individuals which should reduce graft failure rates. Many techniques have been described for LET using a variety of fixation methods (screws, anchors, etc.

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Objective: The aim of the study is to compare the accuracy of dose calculation for different dose calculation algorithms with different prescription points (air, tissue, air-tissue interface in carcinoma lung patients and bone, tissue, and bone-tissue interface in carcinoma buccal Mucosa tumors).

Materials And Methods: Forty-one patients with carcinoma lung and buccal mucosa were retrospectively selected for this study. A three-dimensional conformal radiotherapy reference plan was created using the prescription point in the tissue with Monte Carlo (MC) algorithms for both the groups of patients.

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Hypertension, a key modifiable risk factor for cardiovascular diseases (CVD), significantly contributes to premature death and morbidity worldwide. Despite stabilization in age-adjusted global prevalence, the absolute number of hypertensive individuals doubled from 2000 to 2010, largely due to increases in low- and middle-income countries. In 2021, only 21% of hypertensive individuals globally had effective blood pressure (BP) control.

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  • The study aimed to determine how quickly patients could return to daily activities after a specific knee surgery called medial open wedge high tibial osteotomy (HTO) using an accelerated rehab approach.
  • Researchers tracked 26 patients over 8 weeks, measuring pain and daily activity levels before and after the surgery, noting a significant decrease in pain and a quick return to independent living for most participants.
  • Findings showed that by 8 weeks post-surgery, patients' pain levels dropped significantly, and nearly all participants regained their pre-surgery functioning, indicating that this surgical method, combined with early rehabilitation, is effective.
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Breaking boundaries: Ticagrelor monotherapy in high-risk patients.

Int J Cardiol Heart Vasc

December 2024

Medical Affairs, AstraZeneca Pharma India Ltd, India.

Atherosclerotic plaque formation is a leading cause of arterial thrombosis that significantly impacts global health by instigating major adverse cardiovascular events (MACE) like myocardial infarction (MI) and stroke. Platelets are central to this process, leading to the development of antiplatelet therapies, to mitigate MACE risks. The combination of aspirin with a potent P2Y inhibitor known as dual antiplatelet therapy (DAPT) is the standard for post-percutaneous coronary intervention (PCI) aimed at reducing ischemic events.

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Objectives: The prevalence of atherosclerosis and acute coronary syndrome (ACS) is increasing in young Indians (18-50 years of age). However, the characteristics of atherosclerotic plaques in such individuals are poorly understood, presenting distinct challenges for the management of ACS. This study aims to analyze plaque characteristics in young Indian patients with ACS who underwent percutaneous coronary intervention (PCI) using optical coherence tomography (OCT) imaging.

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Objectives: Septic arthritis of the hip, if not managed early and adequately, leads to degenerative arthritis with pain and debility. Various treatment options have been recommended, but no guidelines for the same have been established. Aim of the study is to evaluate the efficacy of our protocol for timing of staging using serological markers, rate of periprosthetic joint infection, midterm implant survivorship and functional outcomes.

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Objective: This review aims to formulate the most current, evidence-based recommendations regarding complication avoidance, rehabilitation, pain therapy and palliative care for patients with metastatic spine tumors.

Methods: A systematic literature search in PubMed and MEDLINE, and was performed from 2013 to 2023 using the search terms "complications" + "spine metastases", "spine metastases" + + "rehabilitation", "spine metastases" + "pain therapy" + "palliative care". Screening criteria resulted in 35, 15 and 56 studies respectively that were analyzed.

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