357 results match your criteria: "NKP Salve Institute of Medical Sciences & Research Center[Affiliation]"

Role of interleukin-4 receptor α polymorphism in patients with asthma and its correlation with asthma severity.

Monaldi Arch Chest Dis

January 2025

Department of Respiratory Medicine, N.K.P. Salve Institute of Medical Sciences and Research Center, Lata Mangeshkar Hospital, Nagpur, Maharashtra.

Asthma is a heterogeneous disease characterized by chronic airway inflammation. It is defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness, and cough that vary over time and intensity, together with variable expiratory airflow limitation. A personal history or a family history of allergy is the factor most strongly associated with the development of asthma.

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Background: Dermatosis papulosa nigra (DPN) presents as benign skin growths, predominantly affecting women and often commencing during adolescence. Treatment is sought due to its cosmetic impact, with available modalities often posing risks of scarring and pigmentary changes.

Materials & Methods: This study investigates the efficacy of ionized plasma jet therapy (IPJT) in ten DPN patients at a tertiary care hospital in central India.

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Article Synopsis
  • Chronic ectopic pregnancy (CEP) occurs when a fertilized egg implants outside the uterine cavity, often in the fallopian tubes, and can lead to serious health risks for mothers, including maternal mortality.
  • A case study is presented of a 28-year-old woman who experienced significant vaginal bleeding and had a weakly positive urine pregnancy test, eventually leading to a diagnosis of CEP, which was initially misidentified as a broad ligament fibroid.
  • The report emphasizes the importance of considering CEP in pelvic tumor diagnoses and highlights the need for careful clinical assessment, imaging, and surgical intervention for proper management.
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Introduction Cognitive impairment is increasingly recognized as a significant health concern, particularly in the early stages of diabetes. The type and severity of cognitive deficits may vary with the duration of diabetes and the effectiveness of glucose management. Complications associated with metabolic syndrome may exacerbate these cognitive declines.

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  • Trichilemmomas are rare, benign tumors that develop from hair follicles and appear as warty nodules made up of clear and intermediate cells.
  • A 34-year-old Indian man's scalp lesion was initially misdiagnosed as a pyogenic granuloma due to its bleeding tendency.
  • After surgical removal and histopathological analysis confirmed it as a trichilemmoma, the patient has been monitored for six months without any recurrence.
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Lichen sclerosus et atrophicus (LSA) is a chronic inflammatory condition that affects mainly the genital regions but can occur extragenitally. Extragenital LSA occurs far less often than the genitally located variety and in most cases has been reported in females. A 36-year-old male engineer presented with chronic itchy lesions on the right forearm for more than a year's duration.

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Aims: Pregnant women worldwide face the risk of developing gestational diabetes mellitus (GDM), if left untreated, can cause complications. The study explores factors influencing the choice between diet control and insulin therapy for pregnant women with GDM. It aims to understand how these choices impact maternal and neonatal outcomes.

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Ketamine Impact on Kidney Health.

Cureus

October 2024

Nephrology, Middletown Medical, Middletown, USA.

Ketamine-induced uropathy (KIU) is a serious consequence of chronic ketamine abuse, presenting with complex renal and urinary symptoms. This study describes a 34-year-old female with a history of chronic ketamine abuse, resulting in stage 3 chronic kidney disease (CKD) and severe urological complications. Despite discontinuing ketamine use five years ago, she remains dependent on ureteral stents due to recurrent hydronephrosis and ureteral obstruction.

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 The coronavirus disease 2019 (COVID-19), also referred to as the 2019 novel coronavirus, is caused by a single-stranded positive-sense RNA virus. This infectious agent spreads through respiratory routes, primarily utilizing aerosols. In our study, we shed light on ear, nose, and throat (ENT) manifestations, which can be considered as prognostic clinical biomarkers to reduce forthcoming complications among such critically ill patients.

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Dry eye disease (DED) is a multifactorial condition affecting millions worldwide, characterized by discomfort, visual disturbance, and potential damage to the ocular surface. The complexity of its diagnosis and management, driven by the diversity of symptoms and underlying causes, presents significant challenges to clinicians. Artificial intelligence (AI) has emerged as a transformative tool in healthcare, offering potential solutions to these challenges through its data analysis, pattern recognition, and predictive modeling capabilities.

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Intracholecystic papillary neoplasm (ICPN) is a mass-forming, noninvasive epithelial premalignant neoplasm arising from the gallbladder mucosal lining and projecting into the lumen of the gallbladder. It is potentially fatal and if left untreated can progress to invasive gallbladder carcinoma. Incidentally ICPN is found on imaging or during postoperative histological evaluation and is likely to be missed preoperatively.

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A rare case of PDGFRA-positive chronic eosinophilic leukemia.

Indian J Pathol Microbiol

October 2024

Consultant Cardiologist, Salkars' Clinic Nagpur, Maharashtra, India.

Article Synopsis
  • Chronic eosinophilic leukemia (CEL) is defined as an abnormal increase in eosinophils, which are a type of white blood cell, leading to potential tissue damage and affecting various organs.
  • The clinical features of CEL can be similar to idiopathic hypereosinophilic syndrome (IHES), making diagnosis challenging.
  • A case study presented a 49-year-old man with organ damage and blood tests revealing high eosinophil levels and some blasts, indicating a complex and rare manifestation of CEL compared to typical cases.
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Background: Learning in medical education involves a multitude of practical tasks and skills that are amenable to feedback provision. Though passive feedback is given, there is a consistent gap in feedback provision and its receipt. This study aims to assess provider perspectives on feedback and learner attributes influencing the receipt of feedback in medical educational settings.

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  • Non-union patella fractures are uncommon but typically need surgery for better results, as conservative treatment can lead to poor healing and knee function.
  • A case study highlights a 10-month-old neglected displaced patella fracture successfully treated with extensor mechanism repair and bone grafting, resulting in improved knee function over 12 months.
  • The study concludes that stable fixation combined with bone grafting and quadriceps release promotes effective healing and good knee function.
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  • This systematic review examines various studies on genetic markers linked to the risk of developing gastric cancer, focusing on specific genetic polymorphisms.
  • Significant markers identified include MUC1, PSCA, TNF-α, DNMTs, MMP-7, and IL-8, with their impact varying across different ethnic groups.
  • The review calls for more research into how these genetic factors influence cancer development and emphasizes the potential for personalized treatment strategies in gastric cancer management.
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Background Plantar fasciitis is a common foot condition with multifactorial etiology. It is the most frequent cause of heel pain and has been categorized as an overuse syndrome. A clinical examination and history are crucial for diagnosis.

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Trochanteric fractures are common in the elderly population, and their incidence increases twice every decade after age 50. Intramural fixation has achieved good clinical efficacy in the treatment of unstable trochanteric fractures, but there have been complications reported in the literature in the Asian population. Most complications arise from a mismatch between the increase in the anterior femoral bow with advancing age and the proximal femoral nails (PFN) on the market, which still have straight designs on the sagittal plane.

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Lower limb deformities are debilitating and affect the function of the lower limb and the social life of the patient. The deformities around the knee joint might be a combination of multiple deformities in various planes including coronal, sagittal, or rotational and may be present in both the femur and the tibia. We present a case of a 19-year-old female with complex deformity around the left knee joint involving both the femur and the tibia with shortening.

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Annular pancreas is a rare congenital disorder, which is characterized by partial or complete pancreatic tissue surrounding the second part of the duodenum. It can be diagnosed antenatally on ultrasound. We are reporting a case where a double bubble sign on an antenatal scan was seen, which was followed up after the delivery of the baby, and radiography also confirmed the findings.

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Introduction: Among hemodialysis patients, hepatitis B virus (HBV) and hepatitis C virus (HCV) infections contribute significantly to mortality and morbidity. Infection with these hepatotropic viruses in hemodialysis patients is due to their increased contact with blood and its derivatives. Additionally, not following the proper protocol for infection control, contaminated devices, and untrained personnel contribute to the nosocomial transmission of these infections.

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Article Synopsis
  • * A case report discusses a middle-aged male with a fracture dislocation of the radial head in his dominant arm, which was treated using headless compression screws with a specific technique called the tripod method.
  • * Follow-up results showed that the patient gained a good range of motion and an improved Mayo elbow score, suggesting effective recovery from Mason type 4 fractures with this surgical approach.
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Background Fractures of the forearm are very frequently encountered in day-to-day practice. These fractures have a bimodal age distribution. The forearm fractures are considered intra-articular and need absolute stability for adequate healing.

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Road traffic accidents are responsible for most lower limb compound fractures. Such fractures have to be treated immediately with utmost care and precision. Patients are sometimes inadequately treated with traditional practices which causes further disability to the patient and makes it more difficult for the orthopedic surgeon.

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Transvaginal ultrasonography (USG) is most commonly used before surgery to accurately diagnose benign and malignant ovarian masses for effective treatment, avoid unnecessary interventions, improve the prognosis of patients, and preserve fertility in patients with benign tumors. Therefore, the objective of the present systematic review was to assess the diagnostic efficacy of ultrasound-based International Ovarian Tumor Analysis (IOTA) Simple Rules (SR) and Assessment of Different NEoplasias in the adneXa (ADNEX) model in predicting malignancy among women with adnexal masses. A systematic literature search was carried out on electronic databases consisting of Science Direct, PubMed, and Google Scholar.

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