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

Prognostic Significance of Regulatory T-Cells and PD-1 + CD8 T-Cells in Chronic Myeloid Leukemia Patients Treated with Generic Imatinib.

Indian J Hematol Blood Transfus

October 2024

Department of Clinical Hematology and Medical Oncology, Postgraduate Institute of Medical Education and Research (PGIMER), Nehru Hospital, Room No 18, 4th Level, F Block, Chandigarh, India.

The impact of T-regulatory cells (Tregs), PD-1 + CD8 T-cells, and their dynamics during treatment with imatinib mesylate remains poorly understood in patients with chronic myeloid leukemia (CML). We conducted a prospective study on newly diagnosed, treatment-naïve adult (> 18 years old) patients with CML in the chronic phase (CP) and age- and sex-matched controls. Peripheral blood samples were collected at diagnosis and after three months of imatinib therapy to assess Tregs and PD-1 + CD8 T-cell levels using flow cytometry.

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As climate change intensifies, urgent action is needed to address global warming and its associated health risks, particularly in vulnerable regions. Rising global temperature and increasing frequency of heatwaves present a hidden health risk, disrupting the body's temperature regulation and leading to severe consequences such as heat stress-induced multiple organ dysfunction (HS-MOD). Multiple organ injury triggered by heat stress involves complex molecular pathways such as nitric oxide dysregulation, inflammation, oxidative stress, mitochondrial dysfunction, calcium homeostasis disruption, and autophagy impairment that contribute to cellular damage.

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The European Respiratory Society (ERS) and the British Thoracic Society (BTS) have recently published their statements on the treatment of sarcoidosis. There are five key questions in sarcoidosis treatment that need to be addressed: when to treat, how to initiate treatment, how long to treat, when and how to change treatment, and how to treat relapses. Herein, we describe the principles and protocols to answer these questions based on the ERS and BTS statements and other expert reviews.

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A Long Way to Find a Small Tumor: The Hunt for an Insulinoma.

JCEM Case Rep

November 2024

Department of Endocrinology, PGIMER, Chandigarh 160012, India.

Article Synopsis
  • - A 35-year-old woman experienced recurrent hypoglycemia, leading to a diagnosis of insulinoma after several imaging tests failed to locate the tumor.
  • - A specialized imaging technique, Ga-Exendin-4 PET/CT scan, was used during her travels and successfully identified a tumor in the pancreas, confirmed by surgery.
  • - Following the removal of the tumor, the patient's blood sugar levels normalized, demonstrating the effectiveness of the imaging method and the need for access to advanced diagnostic facilities.
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Background: Different clinical manifestations were revealed by the distinct waves of the coronavirus. The pandemic had a multifaceted impact on mental health, sleep patterns, and associated fear.

Materials And Methods: It was an observational online survey using by using Google Forms in the city of Chandigarh between April 2020 and April 2021 across three waves of the coronavirus outbreak (first wave from March 2020 to May 2020, second wave from June 2020 to January 2021, and third wave from February 2021 to April 2021).

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Acromegaly due to ectopic secretion of growth hormone-releasing hormone (GHRH) is a rare disorder. The signs and symptoms of ectopic acromegaly are indistinguishable from acromegaly due to a somatotroph adenoma. A 35-year-old female presented with secondary amenorrhea for 10 years, intermittent headache, and reduced vision in both eyes for 4 years, which worsened over 4 months before presentation.

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Hepatocellular carcinoma (HCC) remains a significant global health challenge with few effective treatment options. The dysregulation of endoplasmic reticulum (ER) stress responses has emerged as a pivotal factor in HCC progression and therapy resistance. Long non-coding RNAs (lncRNAs) play a crucial role as key epigenetic modifiers in this process.

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Cardiac resonance is a complicated phenomenon involving the coordinated oscillations of numerous circulatory system components, such as electrical activity, contraction and relaxation, and blood flow. It is critical for the normal functioning of the heart and for maintaining blood flow throughout the body. Cardiac resonance is defined as a series of tiny waves produced by the heartbeat and overlaid on flow data and airway pressures.

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Article Synopsis
  • Musculoskeletal disorders (MSDs) significantly impact global disability, accounting for 17% of years lived with dysfunction, highlighting the need for understanding risk factors for diagnosis and care.
  • The study assessed MSD prevalence in Indian adults over 45, finding that over half (53.5%) have MSDs, particularly affecting females and those over 60, with joint pain being most common.
  • Key risk factors associated with MSDs include certain occupations, pre-obesity, hypertension, and vigorous physical activity, while tailored interventions could improve musculoskeletal health by addressing modifiable factors like smoking and workplace risks.
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Background And Objectives: Trigeminal Neuralgia (TN) is a debilitating facial pain disorder, often necessitating surgical interventions when medication proves insufficient. Stereotactic Radiosurgery (SRS) is an established therapeutic option. Limited studies explored the feasibility of a third SRS procedure.

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Objectives: The objective of this paper was to compare the effectiveness of different materials for mouthguards in preventing oral and maxillofacial injuries during sports activities. The present study compares the stress-reduction and energy absorption capabilities of two other fused filament materials - poly(lactic-acid plus) (PLA+) and polycarbonate (PC), with Ethylene-vinyl acetate (EVA), which is the most commonly used material for mouthguard fabrication.

Materials And Methods: Two human skulls were modelled, and a boxing glove simulated punches along the x, y, and z-axes with 5 mm displacement with 1 kN force.

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Report from the child neurology education and training workshop at the International Child Neurology Congress 2024: Expert'saddressing the training gap.

Eur J Paediatr Neurol

November 2024

Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; University Teaching Hospitals-Children's Hospital, Lusaka, Zambia. Electronic address:

This report summarizes the key findings of a workshop undertaken at the International Child Neurology Congress in 2024 by child neurologists with expertise in training education and invested colleagues. The workshop aimed to explore global issues which have impact on access to child neurology training. The major findings supported a great need for more training programs globally, that consensus is needed for the minimum standards of training, and that training programs can be strengthened via global health partnerships especially with collaborations from regions with more available resources.

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Article Synopsis
  • The study investigated how socioeconomic status (SES) affects the choice of thrombolytic agent and patient outcomes in acute ischemic stroke (AIS) treatment, comparing alteplase and tenecteplase.
  • Data was collected from 78 AIS patients at a tertiary care center in India, revealing that higher SES patients predominantly chose alteplase, while lower SES patients favored tenecteplase.
  • Despite the differences in drug preference based on SES, no significant disparities in clinical outcomes (measured by NIHSS and mRS scores) were found among the different SES groups.
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Antimicrobial resistance (AMR) poses a significant threat to global public health, disproportionately affecting low- and middle-income countries (LMICs). While excessive antibiotic use is often discussed, the issue of access to antibiotics demands attention. This viewpoint explores the multidimensional nature of the issue of access to antibiotics.

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Musculoskeletal infection of pelvis can be confused with septic arthritis of the hip, irritable hip, sacroiliitis, and spondylodiscitis in the initial period. This study aimed to present the complete clinical picture of pelvic infective osteomyelitis (PIO) in children along with its natural course. Two researchers independently used PubMed and Scopus electronic databases for the literature review.

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Free-living amoebae.

Trop Parasitol

September 2024

Department of Medical Parasitology, PGIMER, Chandigarh, India.

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Background: Cancer poses a significant public health challenge in India, making it crucial to predict its future impact for effective healthcare planning. This study forecast cancer incidence, mortality, and disability-adjusted life years (DALYs) in India from 2022 to 2031.

Methods: We extracted age-standardized data on incidence, prevalence, DALYs, and mortality from 1990 to 2021 from the Global Burden of Disease (GBD) study.

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Unlabelled: Neonatal AKI (acute kidney injury) is an underreported entity in sick neonates associated with significant morbidity and mortality. This was a prospective cohort study, to study the incidence, risk factors, and outcomes of AKI among sick neonates. We included sick inborn neonates admitted at a level III neonatal intensive care unit.

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Effects of glucagon-like peptide-1 receptor agonists on endoscopy outcomes: systematic review and meta-analysis.

Gastrointest Endosc

October 2024

Department of Gastroenterology & Hepatology, Orlando Gastroenterology PA, Orlando, Florida, USA.

Article Synopsis
  • Glucagon-like peptide-1 receptor agonists (GLP-1RAs) can delay gastric emptying, leading to concerns about their impact during endoscopic procedures, which prompted a meta-analysis comparing outcomes in patients using GLP-1RAs to a control group.
  • The analysis included 23 studies with over 77,000 patients, revealing that those on GLP-1RAs had significantly higher odds of retained gastric contents and aborted procedures, but no differences in aspiration events or bowel preparation quality compared to controls.
  • Overall, although patients on GLP-1RAs showed higher rates of certain complications, these occurrences were rare, suggesting that GLP-1RAs do not significantly increase the risks associated
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Article Synopsis
  • - Tamoxifen increases the risk of endometrial hyperplasia and cancer, but there’s not much guidance on treating this condition in breast cancer survivors.
  • - The Levonorgestrel-releasing intrauterine system (LNG-IUS) is being studied as a preventive method, although its effects on breast cancer recurrence in Progesterone receptor-positive patients are uncertain.
  • - Aromatase Inhibitors (AIs) may help with endometrial hyperplasia caused by tamoxifen, indicating a need for further research on their effectiveness.
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