391 results match your criteria: "Jyoti Hospital & Minimal Invasive Surgery Center[Affiliation]"

Purpose: To report the anatomical and functional outcomes of medium-term perfluoro-n-octane (PFO) tamponade as a rescue procedure in very complex retinal detachments (RDs).

Methods: We reviewed the case records of 35 consecutive patients who underwent vitrectomy for very complex RDs due to diverse etiologies. The surgical complexity was so graded because of the intraoperative failure to ascertain complete retinal reattachment; perfluoro-n-octane was used as rescue tamponade for 2 to 4 weeks.

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  • Early neurological deterioration (END) is common in acute ischemic stroke and significantly impacts patient outcomes, with fibrinogen being a debated factor in its prediction.
  • A study involving 141 patients identified independent predictors of END, including age, NIHSS score at admission, and fibrinogen levels, with significant statistical relationships.
  • Results suggest that elevated fibrinogen levels correlate with both poor neurological outcomes and hospital outcomes, highlighting its potential role in early prognostication for ischemic stroke patients.
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We report the successful closure of a large postvitrectomy macular hole by temporal extension of internal limiting membrane (ILM) peeling. A 25-year-old man underwent pars plana vitrectomy, ILM peeling, and perfluoropropane gas tamponade for optic pit with chronic macular schisis and outer lamellar hole. The macular schisis deroofed into a large, full-thickness macular hole postoperatively.

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  • More than 500 million people experience unaddressed near vision impairment (NVI), which requires accessible and efficient testing methods.
  • A new smartphone-based test, Peek Near Vision (PeekNV), was developed and validated against a conventional vision chart, highlighting its accuracy and efficiency in measuring near visual acuity (NVA) for screening NVI.
  • The results showed high agreement with traditional tests and faster screening times, making PeekNV a reliable and practical tool for near vision testing using smartphones.
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Phosphorylation of Thr9 Affects the Folding Landscape of the N-Terminal Segment of Human AGT Enhancing Protein Aggregation of Disease-Causing Mutants.

Molecules

December 2022

Departamento de Química Física, Unidad de Excelencia en Química Aplicada a Biomedicina y Medioambiente e Instituto de Biotecnología, Universidad de Granada, Av. Fuentenueva s/n, 18071 Granada, Spain.

The mutations G170R and I244T are the most common disease cause in primary hyperoxaluria type I (PH1). These mutations cause the misfolding of the AGT protein in the minor allele AGT-LM that contains the P11L polymorphism, which may affect the folding of the N-terminal segment (NTT-AGT). The NTT-AGT is phosphorylated at T9, although the role of this event in PH1 is unknown.

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Complete eradication of bacterial infection from the root canal with minimum or no effect on the microhardness of the dentin is desirable for the success of endodontic treatment. The effect of nanoparticle based intracanal medicaments on the root dentine microhardness was assessed. The medicaments used were combination of calcium hydroxide - silver nanoparticles, Combination of graphene oxide - silver nanoparticles, Calcium hydroxide and a control group.

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In today's time, environmental aspects, lifestyle changes, and person's health coalesce to form stupendous impact on the fertility. All of us are knowingly or unknowingly exposed to several types of radiation. These can lead to collection of early and delayed adverse effects of which infertility is one.

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Advanced imaging techniques and modalities coupled with computer-assisted surgical planning and simulation has been in use in the field of medicine. However, it is worth noting that it is now being frequently used for the evaluation and exploration of the craniofacial structures. It had gained ingress in the planning as well as forecasting of the surgical outcomes of oral and maxillofacial surgical interventions.

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Many neurodegenerative diseases, such as Alzheimer's disease (AD) and frontotemporal dementia with Parkinsonism linked to chromosome 17, are characterized by tau pathology. Numerous motor proteins, many of which are involved in synaptic transmission, mediate transport in neurons. Dysfunction in motor protein-mediated neuronal transport mechanisms occurs in several neurodegenerative disorders but remains understudied in AD.

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Background: Surgical site infection (SSI) remains the most common complication of surgery around the world. WHO does not make recommendations for changing gloves and instruments before wound closure owing to a lack of evidence. This study aimed to test whether a routine change of gloves and instruments before wound closure reduced abdominal SSI.

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Unravelling the Differential Host Immuno-Inflammatory Responses to and Infections in Sepsis.

Vaccines (Basel)

October 2022

Department of Biotechnology, University Institute of Biotechnology, Chandigarh University, S.A.S Nagar 140413, Punjab, India.

Previous reports from our lab have documented dysregulated host inflammatory reactions in response to bacterial infections in sepsis. Both Gram-negative bacteria (GNB) and Gram-positive bacteria (GPB) play a significant role in the development and progression of sepsis by releasing several virulence factors. During sepsis, host cells produce a range of inflammatory responses including inducible nitric oxide synthase (iNOS) expression, nitrite generation, neutrophil extracellular traps (NETs) release, and pro-inflammatory cytokines production.

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Effective cataract surgical coverage in adults aged 50 years and older: estimates from population-based surveys in 55 countries.

Lancet Glob Health

December 2022

International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK; School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand.

Article Synopsis
  • Cataracts are the top cause of blindness worldwide, and effective cataract surgical coverage (eCSC) is crucial to gauge the success of surgical interventions across different populations.
  • The World Health Assembly aims to increase eCSC by 30 percentage points by 2030, prompting the analysis of existing survey data to establish a baseline for this metric.
  • Findings show significant disparities in eCSC among countries, with high-income nations having better access and outcomes compared to low-income ones, and men generally experiencing higher eCSC than women.
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  • In polytrauma patients, assessing injury severity is critical for survival, as hypotension and hypoperfusion can lead to severe complications like shock and multiple organ dysfunction.
  • Serum lactate and base deficit levels serve as key indicators for evaluating the severity of these injuries and predicting patient outcomes, with arterial blood gas analysis being particularly valuable.
  • A study involving 90 polytrauma patients aimed to compare the predictive values of serum lactate and base deficit within the first 48 hours of ER admission to better understand their relationship to mortality and other clinical factors.
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Introduction: The emergence of coronavirus disease-2019 (COVID-19) pandemic poses an immense global health challenge. It also had a profound impact on dentistry with all elective treatment grinding to half initially and a slow phased return to normal services. The aim of the article is to provide an insight into the effect of COVID-19 on endodontic treatment.

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Introduction And Objectives: Early dementia diagnosis in low and middle-income countries (LMIC) is challenging due to limited availability of brief, culturally appropriate, and psychometrically validated tests. Montreal Cognitive Assessment (MoCA) is one of the most widely used cognitive screening tests in primary and secondary care globally. In the current study, we adapted and validated MoCA in five Indian languages (Hindi, Bengali, Telugu, Kannada, and Malayalam) and determined the optimal cut-off points that correspond to screening for clinical diagnosis of dementia and MCI.

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Background And Aims: The coronavirus disease-2019 (COVID-19) pandemic has grappled the entire globe since the beginning of 2020. In India, two vaccines were released in January 2021, the Covaxin® and the Covishield™. However, despite vaccination, many breakthrough infections were reported during the second wave in India.

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Continuous local anaesthetic wound infusion of bupivacaine for postoperative analgesia in neonates: a randomised control trial (CANWIN Study).

BMJ Paediatr Open

August 2022

Discipline of Child and Adolescent Health, The Children's Hospital at Westmead Clinical School, Sydney Medical School, Sydney, New South Wales, Australia.

Objective: To determine the effect of continuous wound infusion of local anaesthetic drug (bupivacaine) on total amount of systemic opioid use in the first 72 hours in newborn infants undergoing laparotomy.

Design: A two-arm parallel, open-label randomised controlled trial.

Setting: A quaternary newborn intensive care unit.

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Purpose: Immune checkpoint blockade (ICB) in conjunction with chemotherapy is approved for the treatment of extensive-stage small-cell lung cancer (SCLC). Although specific genomic abnormalities such as and gene mutations are associated with resistance to ICB in non-SCLC, no genomic abnormality has been found in association with resistance to ICB in SCLC.

Materials And Methods: We first analyzed a retrospective cohort of 42 patients with SCLC treated with single-agent ICB or ICB combination (data set A).

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  • The study aimed to investigate the consistency between children's self-reports and proxy reports (like parents or guardians) on their health-related quality of life (HRQoL) using standardized measures.
  • A systematic review included 30 studies, many of which found poor agreement, particularly in psychosocial areas, though physical health aspects showed better consistency.
  • Results indicated that parents agreed more with children's reports compared to health professionals, and that agreement was generally lower in cancer-related studies compared to non-cancer-related ones.
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Background: The aim of this study was to describe the health-seeking journey for patients with microbial keratitis (MK) in Nepal and identify factors associated with delay.

Methods: Prospective cohort study where MK patients attending a large, tertiary-referral eye hospital in south-eastern Nepal between June 2019 and November 2020 were recruited. We collected demographic details, clinical history, and examination findings.

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While majority of the current treatment approaches for cancer remain expensive and are associated with several side effects, development of new treatment modalities takes a significant period of research, time, and expenditure. An alternative novel approach is drug repurposing that focuses on finding new applications for the previously clinically approved drugs. The process of drug repurposing has also been facilitated by current advances in the field of proteomics, genomics, and information computational biology.

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Objective: The study was undertaken for comparing the colposcopy directed punch versus loop excision biopsy technique in order to get the most précised sample for study as well as comparing the complications associated with them

Materials And Methods: The prospective clinical study was conducted on 50 women of age group 20-80 years. Women who were found to have a Reid colposcopic index of high grade disease, low grade disease or invasive disease recognized as the patients needed biopsy. They were randomly divided into either the punch biopsy forceps group (PB group) or the round loop electrode group (LE group).

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Importance: Ocular trauma terminology should be periodically updated to enable comprehensive capturing and monitoring of ocular trauma in clinical and research settings.

Objective: To update terminology for globe and adnexal trauma.

Design, Setting, And Participants: A 2-round modified Delphi survey was conducted from January 1 to July 31, 2021, using an expert panel, including 69 ophthalmologists identified through their membership in ophthalmology (globe and adnexal trauma) societies.

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