638 results match your criteria: "Gauhati Medical College & Hospital (GMCH)[Affiliation]"

Introduction:  Lichen planus pigmentosus (LPP) is an uncommon variant of lichen planus, characterized by the insidious onset of dark brown to gray pigmented macules, mainly in sun-exposed areas and flexural folds. It is mainly reported in Indian, Latino, American, and Middle Eastern patients. This paper aims to document the clinicopathological characteristics of LPP.

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Introduction It is sometimes difficult to differentiate between intestinal tuberculosis (ITB) and Crohn's disease (CD) in India, as both conditions may mimic each other. The aim was to differentiate ITB from CD in indeterminate intestinal lesions with a therapeutic trial of anti-tubercular therapy (ATT) and follow-up to find out the clinical, endoscopic, radiological, and histological predictors for differentiation between ITB and CD. Methods A prospective observational cohort study of patients diagnosed with ITB and CD according to the Asia-Pacific Guidelines in a "real-life" clinical setting was conducted.

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Unveiling the fibrotic puzzle of endometriosis: An overlooked concern calling for prompt action.

F1000Res

December 2024

Division of Reproductive Biology, Department of Reproductive Science, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Endometriosis is a benign, estrogen-dependent, persistent chronic inflammatory heterogeneous condition that features fibrotic adhesions caused by periodic bleeding. The characteristic ectopic lesions are marked by a widely spread dense fibrotic interstitium comprising of fibroblasts, myofibroblasts, collagen fibers, extracellular proteins, inflammatory cells, and active angiogenesis. Fibrosis is now recognized as a critical component of endometriosis because of which current treatments, such as hormonal therapy and surgical excision of lesions are largely ineffective with severe side effects, high recurrence rates, and significant morbidity.

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Introduction: Rabies is an ancient, lethal zoonotic disease caused by viruses of the genus Lyssavirus, affecting a wide variety of mammals. Though domestic dogs are the main vectors of rabies transmission to humans, other domestic and wildlife species also contribute to the spread of the disease in endemic regions like India. This report presents a case of human rabies following jackal exposure in India, along with the molecular characterization of the rabies virus (RABV) from both the jackal and the affected human patient.

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Introduction: Pheochromocytomas are catecholamine-secreting tumors arising from chromaffin cells of the adrenal gland. Surgery is the only curative treatment with a high biochemical cure rate, low mortality and high risk of perioperative complications.

Objectives: To study the demographic characteristics of patients with pheochromocytoma and to identify the risk factors for perioperative complications, treatment outcomes, and aggressive behavior of the tumor.

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Mycotic intracranial aneurysms (MIAs) are rare but can cause significant morbidity and mortality due to rupture. Most patients have additional systemic medical comorbidities making endovascular treatment a vital modality in the treatment of these aneurysms. We aimed to share our institutional experience with the role of endovascular therapy in the treatment of mycotic aneurysms with a literature review.

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This study aimed to examine the impact of the timing of voice therapy on vocal outcomes in patients post-surgery for benign vocal fold lesions.The study prospectively assessed 20 patients undergoing phonomicrosurgery for benign vocal fold lesions. Participants were categorized into early voice therapy (within 7 days), late voice therapy (after 7 days), and no voice therapy groups.

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Article Synopsis
  • A study investigated male sexual dysfunction (MSD) and hypogonadism in young men with type 2 diabetes (T2DM) aged 20-40 to understand its prevalence and links to diabetes factors.
  • Out of 70 participants, 60% experienced some form of MSD, with hypoactive sexual desire disorder being the most prevalent at 44.28%, followed by erectile dysfunction at 42.85%.
  • The research utilized various assessment tools, including questionnaires and hormonal tests, and employed statistical analyses to determine significance and associations among the collected data.
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Objective: To investigate whether induction/augmentation of labor in pregnant women with anemia increases the risk of postpartum hemorrhage (PPH) and whether this risk varied by indications for labor induction/augmentation and by anemia severity in pregnancy.

Methods: In a prospective cohort study of 9420 pregnant women from 13 hospitals across India, we measured hemoglobin concentrations at recruitment (≥28 weeks of gestation) and blood loss after childbirth during follow-up and collected clinical information about PPH. Clinical obstetric and childbirth information at both visits were extracted from medical records.

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Unlabelled: Japanese encephalitis virus (JEV) stands as a prominent vector-borne zoonotic pathogen, displaying neurotropism and eliciting Parkinson's disease (PD)-like symptoms among most symptomatic survivors. A characteristic feature of PD is the aggregation of mutated α-synuclein (α-syn) that damages the dopaminergic neurons. Considering this link between JEV-induced PD-like symptoms and α-syn pathogenesis, we explored the role of α-syn in JEV infectivity in neuronal cells.

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Sweet's syndrome (SS) is a relatively rare dermatological condition typically presenting with erythematous tender plaques, papules, nodules, or pustules accompanied by fever, asymmetric polyarthralgia, and other systemic features. Elevated inflammatory markers and white blood cell counts are also commonly seen in SS. Dense neutrophilic infiltration in the dermis is a cardinal feature of SS.

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Sickle cell disease (SCD) with vaso-occlusive pain crisis (VOC) significantly impacts patient well-being and often results in extensive healthcare resource utilization. This study assessed the VOC burden, its management and its impact on patients' quality of life (QoL). A cross-sectional observational study was conducted between November 2021 and June 2022, including 1000 SCD patients from high-prevalence states in India.

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Article Synopsis
  • - Food safety is a serious global issue, especially in India’s North-East region, where fermented foods have led to numerous diarrheal outbreaks, but there is a lack of systematic data on foodborne pathogens.
  • - The research aims to create an integrated surveillance system to monitor enteric pathogens in humans, food animals, and the environment, improving outbreak investigations in North-East India.
  • - The Indian Council of Medical Research (ICMR) is leading a study to gather data through laboratory surveillance at various locations, utilizing a centralized digital database for better management and analysis of foodborne diseases.
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In many regions of the world, significant data collection, analysis, and availability on comorbidity and fatality incidents caused by COVID-19 during the lockdown period (2020-2022) is rare. This is especially true for hospitals and COVID treatment facilities in India. This lack of understanding impedes the development of appropriate treatment options, potentially resulting in inferior planning, patient recovery results, and a load on healthcare resources.

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Article Synopsis
  • The study focuses on the distribution of Hepatitis C virus (HCV) genotypes in Assam, north-east India, particularly in high-risk groups, to better understand virus evolution and improve antiviral drug development.
  • The primary findings reveal that HCV genotype 3 is the most prevalent (95.89%), with injecting drug use being the main risk factor (74.31%) among infected individuals, who averaged 30 years old.
  • This research is significant as it reports the presence of HCV genotype 8 for the first time from Assam and underscores the growing concern of HCV infections and co-infections with HIV among young adults, highlighting the need for improved prevention strategies.
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Background & objectives Mumps, a contagious disease caused by the mumps virus (MuV) involves parotid gland inflammation, with potential complications affecting organs other than the parotid glands and central nervous system. Despite successful vaccination, a resurgence of mumps occurred, raising concerns about vaccine effectiveness. This study aimed to examine the entire genome of a representative MuV genotype C from Dibrugarh, Assam, and compare it with references to detect genetic variations in the circulating strain.

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A Prospective Study Evaluating Indications & Outcomes of Revision Mastoid Surgery.

Indian J Otolaryngol Head Neck Surg

October 2024

Department of Otorhinolaryngology, Gauhati Medical College and Hospital, Assam, India.

Mastoid surgeries are surgical procedures, wherein surgical failures are prevalent due to the fundamental complexities involved, especially in the understanding of microscopy and pathophysiology of the disease. A revision mastoidectomy is an utmost, a post-procedure decision, wherein the patient continues to exhibit signs and symptoms that are concerning. This is proved by a prospective, cross-sectional research which was conducted upon a group of patients who were referred to a tertiary health care centre.

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Article Synopsis
  • The study examines the spectrum of differences of sex development (DSD) in Assam, focusing on various conditions, sex assignment at birth, and factors influencing these decisions.
  • It reviews a decade's worth of records from patients with DSD, highlighting that 46, XY DSD is the most common type, particularly due to androgen biosynthesis disorders.
  • Findings indicate variability in age of presentation and the degree of ambiguity, emphasizing the need for comprehensive diagnostic and management strategies in resource-limited settings.
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Mindfulness training has gained increasing attention as a potential intervention to improve cardiovascular health, particularly in populations with chronic conditions, such as type 2 diabetes. Given the heightened cardiovascular risk associated with type 2 diabetes, identifying effective non-pharmacological strategies to mitigate these risks is crucial. This critical review assessed the current evidence on the impact of mindfulness training on cardiovascular health in individuals with type 2 diabetes.

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Indian J Microbiol

September 2024

Department of Microbiology, Gauhati Medical College and Hospital, Guwahati, Assam 781032 India.

is an emerging food-borne pathogen responsible for two types of food poisoning: emetic and diarrhoeal type. Here we report an emetic type of food-borne illness attributable to On 2nd February, 2021, 202 people suffered from pain in abdomen and vomiting after consuming the rice provided during a public gathering in Diphu, Assam. Culture of leftover fried rice showed growth of group of organisms.

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Infantile Cardiac Hemangioma: A Rare Case Presentation.

World J Pediatr Congenit Heart Surg

January 2025

Department of Cardiology, Cardiothoracic and Neuroscience Center, Gauhati Medical College and Hospital, Guwahati, Assam, India.

Article Synopsis
  • - Cardiac hemangiomas are rare and account for less than 5% of all primary heart tumors, mainly affecting neonates and children.
  • - Although they are benign, these tumors can cause serious symptoms like congestive heart failure and can sometimes be life-threatening.
  • - The case study discusses a two-month-old child who successfully underwent surgery to remove the cardiac hemangioma.
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Robust digital infrastructure is vital and the need of the hour, especially in the healthcare sector, for real-time data generation, analysis, and quick decision-making. Food- and water-borne illnesses represent a prominent cause of morbidity and mortality worldwide. India, a developing nation with diverse cultures and food practices, poses a high risk of food-borne diseases and outbreaks, yet is often underreported and ineffectively researched.

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Comprehending the risk of foodborne and waterborne disease outbreaks: Current situation and control measures with Special reference to the Indian Scenario.

Heliyon

August 2024

Division of Development Research, Indian Council of Medical Research, Department of Health Research (Ministry of Health & Family Welfare), P.O. Box No. 4911, Ansari Nagar East, New Delhi-110029 India.

Background: Foodborne and waterborne diseases and outbreaks are a neglected public health issue worldwide. In developing countries, diarrheal disease caused by foodborne and waterborne infections is a major cause of ill health. There is a lack of information on foodborne pathogens, their transmission routes, outbreaks, and related mortalities, due to the absence of a robust disease surveillance system and adequately equipped laboratories.

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This study investigates the phytoconstituents of Myrica esculenta fruit extracts using various solvents, including n-hexane, dichloromethane, ethyl acetate, methanol, and water. Qualitative phytochemical analysis revealed the presence of several phytochemicals, with the highest concentration found in the methanol extract. The total phenolic (94.

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