233 results match your criteria: "Hinduja Hospital and Medical Research Centre[Affiliation]"

This study evaluated initial antihypertensive drug prescription patterns in Indian healthcare settings. An observational, cross-sectional, prospective prescription registry analyzed prescriptions for 4723 newly diagnosed hypertension patients. Additionally, it investigated the extent to which physicians adhered to either European or Indian hypertension guidelines.

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Overweight, obesity, and cardiovascular disease in heterozygous familial hypercholesterolaemia: the EAS FH Studies Collaboration registry.

Eur Heart J

January 2025

Department of Primary Care and Public Health, Imperial Centre for Cardiovascular Disease Prevention, School of Public Health, Imperial College London, White City Campus, 90 Wood Lane, London W12 0BZ, UK.

Background And Aims: Overweight and obesity are modifiable risk factors for atherosclerotic cardiovascular disease (ASCVD) in the general population, but their prevalence in individuals with heterozygous familial hypercholesterolaemia (HeFH) and whether they confer additional risk of ASCVD independent of LDL cholesterol (LDL-C) remains unclear.

Methods: Cross-sectional analysis was conducted in 35 540 patients with HeFH across 50 countries, in the EAS FH Studies Collaboration registry. Prevalence of World Health Organization-defined body mass index categories was investigated in adults (n = 29 265) and children/adolescents (n = 6275); and their association with prevalent ASCVD.

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Residual blood specimens collected at health facilities may be a source of samples for serosurveys of adults, a population often neglected in community-based serosurveys. Anonymized residual blood specimens were collected from individuals 15 - 49 years of age attending two sub-district hospitals in Palghar District, Maharashtra, from November 2018 to March 2019. Specimens also were collected from women 15 - 49 years of age enrolled in a cross-sectional, community-based serosurvey representative at the district level that was conducted 2 - 7 months after the residual specimen collection.

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Article Synopsis
  • Residual blood specimens offer a cost-effective way to track seroprevalence changes compared to traditional household surveys, as shown in a study in India focused on measles-rubella vaccinations.
  • A cross-sectional survey in Kanpur Nagar and Palghar found significant increases in rubella seroprevalence post-immunization, though measles trends were inconsistent between facility and community samples.
  • Younger children in public facilities initially had lower rubella seroprevalence than those in private hospitals, but this gap disappeared after the vaccination campaign, highlighting the importance of residual specimens for public health monitoring.
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Transient Osteoporosis of Hip as a Part of "Long COVID-19": A Case Series.

J Orthop Case Rep

November 2024

Department of Orthopaedics, P D Hinduja Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim (West), Mumbai, Maharashtra, India.

Introduction: Transient osteoporosis of the hip (TOH) presents with symptoms such as groin pain, discomfort, and the presence of bone edema detected on magnetic resonance imaging (MRI) scans. We have observed an increase in the occurrence of TOH in patients following the COVID-19 pandemic.

Case Report: In this series, we present four cases of TOH that developed after COVID-19 infection.

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Background: Drug-resistant tuberculosis remains a major obstacle in ending the global tuberculosis epidemic. Deployment of molecular tools for comprehensive drug resistance profiling is imperative for successful detection and characterisation of tuberculosis drug resistance. We aimed to assess the diagnostic accuracy of a new class of molecular diagnostics for drug-resistant tuberculosis.

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An 8.5-year-old boy presented with a history of progressive unilateral foot drop. A contrast magnetic resonance imaging of the pelvic girdle and the lumbosacral plexus revealed a diffuse fusiform thickening of the right lumbosacral trunk and the sciatic nerve in the intrapelvic and gluteal regions, with findings characteristic of a choristoma.

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Introduction: Vascular injury during total knee replacement (TKR) is a rare but potentially serious complication. Early recognition and prompt intervention are crucial for managing these injuries effectively. Interdisciplinary collaboration with a vascular surgeon is essential to optimize patient outcomes, minimizing the risk of limb loss and other long-term complications.

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Indian expert Delphi consensus on the diagnosis and management of flares of generalised pustular psoriasis.

Indian J Dermatol Venereol Leprol

September 2024

Department of Medical Affairs, Boehringer Ingelheim Pvt. Ltd., Godrej Two, Mumbai, Maharashtra, India.

Article Synopsis
  • Generalised pustular psoriasis (GPP) is a chronic inflammatory condition marked by recurrent episodes of widespread pustules and lacks standardized management guidelines in India.
  • A Delphi panel study aimed to reach consensus among experts on key issues related to GPP understanding and management, identifying 19 important topics.
  • After two rounds of evaluation, consensus was achieved for 17 out of 19 statements posited by the panel, emphasizing the need for better understanding and strategies for managing GPP.
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The HScore to Diagnose HLH in Scrub Typhus: Overdiagnosis or under Diagnosis and Does It Really Matter?

Indian J Crit Care Med

September 2024

Department of Medicine and Critical Care, P. D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Article Synopsis
  • The article discusses the HScore, a clinical tool used to diagnose Hemophagocytic Lymphohistiocytosis (HLH) in patients with Scrub Typhus.
  • It raises questions about whether the HScore leads to the overdiagnosis or underdiagnosis of HLH, highlighting the implications for patient management.
  • The author emphasizes the importance of accurate diagnosis in improving treatment outcomes and suggests that understanding HScore limitations is crucial for clinicians.
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Current Practices in Genetic Testing for Prostate Cancer: The Indian Scenario.

Indian J Public Health

July 2024

Regional Medical Advisor Oncology, AstraZeneca Pharma India Ltd., Bengaluru, Karnataka, India.

Background: Despite genetic testing being recommended by international guidelines for the selection of targeted therapy for prostate cancer (PCa), limited data are available on genetic testing for PCa in India.

Objectives: The objective is to understand the current genetic testing practice pattern for PCa in India.

Materials And Methods: A panel of 9 experts developed and validated a premeeting online questionnaire comprising 12 objective questions.

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Rest-fMRI-A Potential Substitute for Task-fMRI?

Indian J Radiol Imaging

October 2024

Department of Radiology, P. D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

 The aim of this study was to assess the reliability of resting-state functional magnetic resonance imaging (rest-fMRI) in mapping language areas for preoperative planning, versus standard task-based techniques, which are at times difficult to perform in clinical settings. Our study also aimed to evaluate the overlap between language areas identified through rest-fMRI and the standard task-fMRI, in neurosurgical cases.  Using a seed-based analysis of rest-fMRI with multiple template seeds, we identified functionally connected language regions in patients undergoing preoperative language mapping.

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This opinion article highlights the critical role of laboratory medicine and emerging technologies in cardiovascular risk reduction through exposome analysis. The exposome encompasses all external and internal exposures an individual faces throughout their life, influencing the onset and progression of cardiovascular diseases (CVD). Integrating exposome data with genetic information allows for a comprehensive understanding of the multifactorial causes of CVD, facilitating targeted preventive interventions.

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Unlabelled: Dengue is one of the commonest causes of undifferentiated acute febrile illness in India as well as South East Asia. Nearly two-fifths of the world population is at risk of infection, and nearly 96 million infections reported worldwide, it is a major cause of concern across the globe. The ISCCM leadership felt that there have been no new directives/guidelines except the MOH guidelines for the management of dengue fever since 2014.

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ISCCM Position Statement for Improving Gender Balance in Critical Care Medicine.

Indian J Crit Care Med

August 2024

Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

Unlabelled: Gender disparity in Critical Care Medicine (CCM) persists globally, with women being underrepresented. Female Intensivists remain a minority, facing challenges in academic and leadership positions at the workplace and within academic societies. The Indian Society of Critical Care Medicine (ISCCM) recognized the need for addressing issues related to gender parity and constituted its first Diversity Equity and Inclusion (DEI) Committee in 2023.

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Sialadenitis in Antineutrophil Cytoplasmic Antibodies Vasculitis.

J Assoc Physicians India

August 2024

Consultant Rheumatologist, Department of Rheumatology, P D Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Granulomatosis with polyangiitis (GPA) is a pauci-immune vasculitis typically involving upper and lower respiratory tract involvement and crescentic glomerulonephritis. Salivary gland involvement in GPA is rare. When it occurs in GPA, it is commonly seen with sinonasal and lung involvement and rarely with renal involvement.

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Purpose And Aim: Modern generation linear accelerator (linac) either generates X-rays with a flattening filter (WFF beam) or without flattening filter free (FFF beam). The FFF beams are associated with a significantly higher dose per pulse compared to WFF beams due to the absence of a flattening filter and the corresponding attenuation caused by it. This results in increased ion recombination and a larger saturation correction factor (k).

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Purpose: In the weekly-3-weekly study, cisplatin at 100 mg/m once-every-3-weeks led to superior locoregional control compared with cisplatin 30 mg/m once-a-week in combination with radical radiation for locally advanced head and neck squamous cell carcinoma (LAHNSCC). We report the updated analysis of the study.

Methods And Materials: In this phase 3 open-label noninferiority study conducted between 2013 and 2017, 300 patients with LAHNSCC were randomly assigned to receive cisplatin 100 mg/m once-in-every-weeks or cisplatin 30 mg/m once-a-week, concurrently with radiation.

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Primary cerebral phaeohyphomycosis is a life-threatening disease caused by neurotropic dematiaceous fungi. At present, there are no consensus guidelines regarding optimal antifungal therapy in such cases. Generally, a combination of antifungal agents is recommended for treatment.

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Indian consensus on the managemeNt of carbapenem-resistant enterobacterales infection in critically ill patients II (ICONIC II).

Expert Rev Anti Infect Ther

June 2024

Department of Global Medical Affairs, Glenmark Pharmaceuticals Ltd, Mumbai, Maharashtra, India.

Introduction: The rising challenge of carbapenem-resistant Enterobacterales (CRE) infections in Indian healthcare settings calls for clear clinical guidance on the management of these infections. The Indian consensus on the management of CRE infection in critically ill patients (ICONIC-II) is a follow-up of the ICONIC-I study, which was undertaken in 2019.

Areas Covered: A modified Delphi method was used to build expert consensus on CRE management in India, involving online surveys, face-to - face expert meetings, and a literature review.

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