345 results match your criteria: "Patna Medical College.[Affiliation]"

Background: During the COVID-19 pandemic, it has been observed that acute kidney injury (AKI) especially requiring intervention support of hemodialysis has notably increased mortality rates among COVID-19-positive critically ill patients; however, comprehensive data regarding this from India, especially the eastern territory, remains sparse. This study aims to outline the demographic, clinical, and biochemical characteristics, along with the outcomes, of these patients.

Methods: A retrospective study was performed at the All India Institute of Medical Sciences (AIIMS), Patna, from March 1, 2020, to March 31, 2021.

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Ophthalmic complications of injectable facial fillers.

World J Clin Cases

December 2024

Department of Community Medicine, Patna Medical College, Patna 800004, Bihar, India.

The recently published mini-review article by Miotti is an effort to clarify various aspects regarding the choice between fat grafts and fillers in facial aesthetic surgery. One of the complications associated with the administration of fillers is the possibility of vascular injury and spread of the dermal filler into the orbit, causing unexpected effects at a site distant from that of the initial injection, including ophthalmoplegia, ptosis and even visual compromise. Acute vision loss following filler injection is a devastating complication, occurring in up to 0.

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The emergence of COVID-19 triggered a global health crisis, sparking concerns within the medical community about its interaction with chronic kidney disease (CKD) and the heightened vulnerability of individuals with compromised renal function to severe viral infection and mortality. This retrospective study encompassed all adult patients with laboratory-confirmed COVID-19 and pre-existing CKD admitted between May 2020 and May 2023. Their demographic data, relevant clinical parameters, and laboratory values were collected.

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Cardiovascular disease is the leading cause of mortality and disability worldwide, with important economic and quality-of-life implications. Effective treatment relies on drug adherence, which is impacted by a variety of factors; noncompliance increases morbidity, mortality, and healthcare costs. This study examines the quality of life, treatment adherence factors, and challenges that cardiac patients encounter during their treatment regimen.

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Can tele-physiotherapy help in filling treatment gaps during pandemics in multiple sclerosis?

J Family Med Prim Care

October 2024

Department of Neurology, Bihar Neuro, Rukanpura, Patna, Bihar, India.

Background: Published data demonstrate promising results for rehabilitation in patients with multiple sclerosis (MS), including telerehabilitation technologies. Given the travel limitations during the coronavirus disease 2019 (COVID-19), telerehabilitation may provide a viable alternative to in-person physiotherapy.

Objective: To determine the efficacy of telerehabilitation in MS patients during COVID-19.

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Article Synopsis
  • Orbital cellulitis is a serious bacterial infection behind the eye that can lead to severe complications, including blindness and even death; early diagnosis and treatment are crucial for better outcomes.
  • A study evaluated 20 pediatric cases from March 2021 to February 2024, observing that most patients were boys around 7 years old, with typical symptoms including swelling and restricted eye movement; sinusitis was the primary source of infection in 45% of cases.
  • Using orbital CT scans enabled 100% accurate diagnosis; while 75% of the children fully recovered, 25% experienced some visual impairment, highlighting the need for timely intervention and a multidisciplinary treatment approach.
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Purpose: The COVID-19 pandemic was caused by severe acute respiratory syndrome coronavirus-2 (SARS-COV2). The impact of the pandemic is becoming more apparent now on various tissues and body organs. Limited knowledge is present about the characteristics, duration, and long-term sequelae of ocular problems post-COVID-19 infection.

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Background: Severe Early Childhood Caries (S-ECC) is a prevalent oral health issue among young children, often associated with specific caries-associated bacteria. This study investigates the impact of diet on the growth and activity of caries-associated bacteria in S-ECC.

Materials And Methods: Plaque samples of and species were procured from laboratory.

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Background: Periodontal disease and chronic kidney disease (CKD) are both prevalent conditions with significant implications for public health. This prospective clinical study aimed to explore the potential relationship between periodontal disease and the progression of CKD in renal transplant recipients.

Materials And Methods: A total of 150 renal transplant recipients with varying degrees of periodontal disease were enrolled in this study.

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Background Urolithiasis, characterized by the formation of stones in the urinary tract, is a common condition with significant morbidity. Medical expulsive therapy (MET) has emerged as a non-invasive treatment modality for facilitating the spontaneous passage of ureteral stones. However, MET success varies widely among individuals, and identifying predictive factors for treatment outcomes is crucial for optimizing patient care.

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Fixed-dose Combination of Torsemide and Mineralocorticoid Receptor Antagonists.

J Assoc Physicians India

September 2024

Cluster Medical Head, Medical Affairs, Cipla Ltd., Mumbai, Maharashtra, India.

The combination of torsemide and spironolactone presents a promising approach to managing conditions such as edema and hypertension. Torsemide, a loop diuretic, enhances diuresis by inhibiting sodium reabsorption in the kidneys, while spironolactone, a potassium-sparing diuretic and mineralocorticoid receptor antagonist (MRA), complements this effect by preventing potassium loss and offering additional cardiovascular benefits. This review examines clinical evidence supporting their combined effectiveness in treating fluid retention and improving outcomes in conditions like heart failure (HF).

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Unique Pharmacological Properties and Safety Profiles of Loop Diuretics.

J Assoc Physicians India

September 2024

Country Head; Medical Affairs, Cipla Ltd., Mumbai, Maharashtra, India.

Loop diuretics are regarded as essential for the treatment of edematous conditions in heart failure, cirrhosis, and renal disease. The principal mechanism of action involves inhibiting the reabsorption of ions (Na+, 2Cl-, and K+) from the ascending loop of Henle. The pharmacokinetic (PK) and pharmacodynamic (PD) features of the commonly used diuretics (torsemide, furosemide, and bumetanide) influence the selection of diuretics in various disease states and dosing regimens.

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Depending on the age of the wife or female partner, infertility is defined as the inability of a couple to achieve conception after 12 months if the age is ≤35 years and six months if the age is ≥35 years. About half of female infertility is attributed to ovulatory dysfunction, and the rest is either due to tubal and pelvic pathology or problems such as thyroid disease or anatomic abnormalities. Ovulatory disorders are one of the major factors for infertility problems in couples.

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Sleep duration is a substantial risk factor for several cardiovascular diseases, including atrial fibrillation (AF). Despite much research, the precise nature of the relationship between the amount of sleep and AF remains unclear. This narrative review explores the relationship between AF and sleep duration, looking at genetic, mechanistic, and epidemiological data to explain this association.

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Periodontitis is independently associated with numerous lifestyle diseases. Diabetic patients have approximately threefold increased odds of periodontitis, which in turn increases the risk of systemic inflammation. The study by Thazhe Poyil is an effort to establish the inflammatory link between diabetic re-tinopathy (DR) and periodontitis based on the periodontal inflamed surface area in diabetic patients with and without DR.

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Article Synopsis
  • - ICU-acquired weakness (ICU-AW) is a syndrome causing generalized weakness in critically ill patients, identified by a lack of other causes and associated with factors like hyperglycemia, sedatives, and prolonged mechanical ventilation.
  • - Key risk factors for ICU-AW include older age, female sex, pre-existing health conditions, and the severity of illness, but the relationship between longer ICU stays and ICU-AW isn’t easily modified for prevention.
  • - Research suggests that to prevent ICU-AW more effectively, new strategies should focus on identified risk factors rather than just the duration of ICU care, and multicentric randomized controlled trials could help clarify these influences.
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Microplastic (MP) pollution is a growing global concern because of its potential to impair human health, particularly with regard to fetal development. However, the origins of prenatal MP exposure and its effects on fetal development have not been well studied. This study aimed to provide a systematic review of the literature regarding the impact of microplastics on pregnancy and fetal development.

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Background: Accelerated orthodontic treatment has gained popularity in recent years as patients seek shorter treatment durations. Microosteoperforations (MOPs) have emerged as a minimally invasive technique to expedite tooth movement. This study aims to compare the effectiveness of MOPs in accelerating orthodontic treatment with conventional methods.

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Article Synopsis
  • Class II malocclusions are common orthodontic issues that often require early intervention during the mixed dentition phase to improve occlusion and facial balance.
  • A study of 150 patients aged 7 to 10 revealed significant reductions in overjet and overbite after early treatment, with stable improvements maintained over an average follow-up of 10 years.
  • Overall, 85% of patients sustained their corrected occlusion with minimal relapse, indicating that early orthodontic treatment is effective in addressing Class II malocclusions.
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Caesarean scar ectopic pregnancy is the rarest form of ectopic pregnancy. Nowadays, with the rise in caesarean deliveries, along with better awareness and improvement in ultrasound diagnosis, there is an increase in the number and detection of caesarean scar ectopic pregnancy. A 28-year-old female patient with one previous caesarean delivery and a spontaneous abortion at three months visited the obstetrics emergency department due to three months of amenorrhea, abdominal pain, and vaginal bleeding on and off for two days.

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Background: Female-pattern hair loss (FPHL) is characterized by decreased scalp hair density, thinning of hair shafts, and progressive miniaturization of hair follicles.

Objective: To compare the safety and efficacy of spironolactone versus bicalutamide in female pattern hair loss [FPHL].

Methods: The study design was retrospective, and all eligible females aged between 18 years and 50 years with FPHL were included.

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Background Leprosy is known to be a great mimicker. Its dermatoscopic evaluation may be of value in establishing diagnosis. Objective To study the dermatoscopic findings encountered across the leprosy spectrum.

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Introduction Corticosteroid injection and wrist-hand splint are two of the most commonly used conservative options for the management of carpal tunnel syndrome (CTS). This study compares the effectiveness of splinting and splinting plus local steroid injection in improving clinical and nerve conduction findings of patients with CTS. Methods A total of 44 patients with CTS were randomized into two groups.

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Chronic Nonhealing Wound Due To Iatrogenic Foreign Body- A Case Report.

J Indian Assoc Pediatr Surg

January 2024

Department of Pediatric Surgery, Patna Medical College and Hospital, Patna, Bihar, India.

A 5-year-old male child presented with nonhealing wound on the left scapular region. He had a history of multiple abscesses 8 months back. Incision and drainage were done for all abscesses in the same sitting at another hospital.

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