7,929 results match your criteria: "PGIMER & DR Ram Manohar Lohia Hospital[Affiliation]"

Background: Blood transfusion is a cornerstone of modern healthcare, pivotal in saving countless lives annually. However, inadequate knowledge among healthcare providers can lead to serious complications. Despite the availability of assessment tools like the Biomedical Excellence for Safer Transfusion (BEST) test, there is a need for indigenous-validated questionnaires to address knowledge gaps effectively.

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  • The study focuses on cardiovascular disease (CVD) risk management in India, emphasizing the importance of understanding risk factors, particularly hypertension, in a younger population in resource-limited settings.
  • Using data from the Longitudinal Ageing Study in India, researchers calculated 10-year CVD risk scores for adults aged 45 and older, taking into account factors like socio-demographics, exercise, and history of diabetes.
  • Results indicated that 68.8% of participants had a CVD risk score under 10%, with higher risks associated with being rural, poorer, and less educated, while urban dwellers and those who exercised regularly showed decreased risk.
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  • A 62-year-old man underwent total knee arthroplasty (TKA) due to symptomatic knee osteoarthritis caused by frequent dislocation of the patella.
  • Post-surgery, 23 months later, he had a stable gait and good knee movement ranging from 5 to 95 degrees without pain.
  • The study concludes that TKA is a viable treatment for older patients with patellar instability and knee osteoarthritis, although surgical adjustments may be needed based on each patient's unique anatomy.
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Background: Dravet syndrome is an infantile-onset developmental and epileptic encephalopathy with limited data on the frequency of SCN1A in Indian children. The study aimed to identify and characterize the burden of SCN1A pathogenic variants associated with the Dravet syndrome phenotype through genetic testing in the North Indian population.

Method: In this prospective, cross-sectional study from March 2015 to February 2019, we enrolled 52 children with Dravet syndrome phenotype who underwent genetic testing for SCN1A gene pathogenicity.

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Perinatal outcomes in indian women with Antiphospholipid Antibody Syndrome (APS): Five year experience from a tertiary care centre.

Eur J Obstet Gynecol Reprod Biol X

December 2024

Department of Obstetrics and Gynaecology, PGIMER Chandigarh, 160012, India.

Background: Antiphospholipid Syndrome (APS) is a systemic autoimmune thrombophilic condition characterized by obstetric manifestations, including pregnancy loss, preeclampsia and fetal growth restriction. Early diagnosis and management are key to improve maternal and neonatal outcomes.

Objective: The aim of this study is to assess the perinatal outcomes in APS, the development of various adverse pregnancy outcomes (APO), and their association with specific antibody profiles.

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Tuberculosis treatment is sometimes associated with clinical deterioration, referred to as paradoxical reaction (PR), especially in those with HIV coinfection. However, the burden and characteristics of PR in children without HIV coinfection are unclear. We undertook a systematic review to estimate the burden and clinical characteristics of PR in HIV-negative children.

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  • * Out of 54 leprosy patients initially assessed, a significant portion showed symptoms like loss of sensation (68.5%) and paresthesia (37.0%), with notable improvements in nerve function observed, particularly in the ulnar and radial nerves after treatment (P < 0.05).
  • * The study found that some abnormal HRUS-CD results were linked to factors like more serious leprosy cases, age, and flare-ups of the disease, concluding that
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A 47-year-old male presented with a right-sided Shamblin type 2 carotid body tumor measuring 5*5 cm. After preoperative embolization, a sub adventitial resection of the tumor was done. He was discharged after postoperative day 5 and presented again to emergency 10 days later with a bleeding pseudoaneurysm at the surgical site causing dysphagia and dyspnea.

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  • Hepatocellular carcinoma (HCC) is a serious condition requiring a team-based management approach, with surgical options being ideal for some patients.
  • Stereotactic body radiation therapy (SBRT) is gaining recognition as an effective treatment, especially for advanced HCC, and is now recommended as an alternative to other therapies like radiofrequency ablation and transarterial chemoembolization.
  • Recent studies show SBRT boasts a high local control rate of 80-90% for HCC, and its combination with immunotherapy may enhance treatment outcomes, although more research is needed to compare these methods directly.
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Background: The gastrointestinal symptom rating scale (GSRS) is a questionnaire in English language which is designed to assess the clinical symptoms in patients with irritable bowel syndrome (IBS) and peptic ulcer disease. This validated scale has questions on around 15 items and has been validated in patients with dyspepsia and IBS.

Aim: To translate and validate the English version of the GSRS questionnaire to the Hindi version.

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Coarctation of the aorta (CoA) is a rare congenital malformation, the symptoms of which may remain subtle in childhood and appear at a later age. It can manifest only with symptoms of upper body hypertension. Various methods have been described for managing coarctation of the aorta in adults, including surgical or percutaneous balloon angioplasty with or without stent placement and medical therapy.

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Candidaemia and Central Line-Associated Candidaemia in a Network of Indian ICUs: Impact of COVID-19 Pandemic.

Mycoses

September 2024

Division of Epidemiology and Communicable Diseases, Indian Council of Medical Research, Delhi, India.

Article Synopsis
  • The study investigates the prevalence and impact of candidaemia in 67 ICUs across India, assessing how the COVID-19 pandemic influenced its rates and mortality.* -
  • Data from 401,601 patient days revealed higher candidaemia rates in COVID-19 ICUs (2.52/1000 patient days) compared to non-COVID-19 ICUs (1.05/1000 patient days), with associated mortality significantly higher in COVID-19 cases (61% vs. 41%).* -
  • Analysis identified C. tropicalis as the most common isolated species (26.7%), while C. auris, which had a high mortality rate, accounted for 17.5% of isolates
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The objective of this article is to evaluate the salivary levels of tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ), interleukin-2 (IL-2), and IL-10 in patients with active psoriasis and compare them with those in healthy control subjects. This study included 60 subjects who were clinically diagnosed cases with active psoriasis (categorized further into 33 mild to moderate and 27 severe cases based on the Psoriasis Area Severity Index score) and 60 age- and gender-matched healthy control subjects. Levels of TNF-α, IFN-γ, IL-2, and IL-10 in the unstimulated saliva of subjects were determined via enzyme-linked immunosorbent assay (BT Lab).

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A hospital-based longitudinal observation study was conducted to determine the auxological dynamics of Cephalic Index (CI) and corresponding head shape among 1125 children with Down syndrome. Majority (88% males, 82% females) displayed brachycephaly.

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  • Allergic bronchopulmonary aspergillosis (ABPA) was analyzed in relation to asthma severity among 543 adult patients categorized as mild, moderate, or severe according to GINA guidelines.
  • The study found that ABPA prevalence was 11.1% in mild asthma, 21% in moderate asthma, and 20.7% in severe asthma, indicating that severity does not significantly influence ABPA occurrence (P = .12).
  • The research emphasizes the need for screening all asthma patients for ABPA, regardless of their asthma severity, and suggests further studies to confirm these results.
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Intellectual disability (ID) is seen in around 2.5% of global population and can vary from mild to severe and profound ID. There can be multiple affected family members if it is inherited, though many autosomal dominant ID cases would be due to de novo mutations are very less likely to recur in families.

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Background: Mesenchymal Stromal Cells (MSCs) are the preferred candidates for therapeutics as they possess multi-directional differentiation potential, exhibit potent immunomodulatory activity, are anti-inflammatory, and can function like antimicrobials. These capabilities have therefore encouraged scientists to undertake numerous preclinical as well as a few clinical trials to access the translational potential of MSCs in disease therapeutics. In spite of these efforts, the efficacy of MSCs has not been consistent-as is reflected in the large variation in the values of outcome measures like survival rates.

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  • The revision of India's health benefits package (HBP), particularly from HBP 1.0 to HBP 2.0, positively influenced provider behavior and utilization of services across government and private hospitals.
  • Analysis of 1.35 million hospitalization claims revealed that changes in nomenclature, structure, and pricing were effective, especially for packages that were previously under-priced, although dose-response relationships related to pricing corrections weren't statistically significant.
  • The findings indicated that the HBP revisions improved service utilization uniformly across both public and private healthcare facilities within the program period.
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  • Pheochromocytoma is a rare tumor that secretes catecholamines and can cause severe symptoms like high blood pressure, rapid heart rate, headaches, and sweating; timely diagnosis is crucial to prevent complications.
  • A case study of a 25-year-old woman showed she presented with hypertensive encephalopathy and acute coronary syndrome linked to pheochromocytoma, which was later confirmed via imaging and biochemical tests.
  • After targeted treatment and surgery to remove the tumor, the patient’s hypertension and symptoms fully resolved, underscoring the need to consider pheochromocytoma in cases of acute neurological and cardiac issues.
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Regional disparities of infections in cirrhosis: a call for action.

Lancet Gastroenterol Hepatol

November 2024

Unit of Internal Medicine and Hepatology, Department of Medicine, University and Hospital of Padova, Padova, Italy.

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