8,755 results match your criteria: "Post Graduate Institute of Medical Education[Affiliation]"

A young man in his late 30s with a history of pulmonary tuberculosis presented with complaints of hoarseness of voice persisting for 6 months. Chest auscultation revealed diminished breath sounds over the right lung field. An initial chest X-ray showed collapse of the right lung with mediastinal shift towards right.

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Progressive supranuclear palsy (PSP) has emerged as a key area of interest among researchers worldwide, including those in India, who have actively studied the disorder over the past several decades. This review meticulously explores the extensive range of Indian research on PSP up to the present and offers insights into both current initiatives and potential future directions for managing PSP within the region. Historical research contributions have spanned 80 publications from 1974 to 2023, encompassing diverse themes from clinical phenotyping and historical analysis to isolated investigative studies and therapeutic trials.

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Background: Syndromic craniosynostosis is characterized by premature fusion of cranial sutures resulting in midface deficiency. Lefort III Distraction Osteogenesis (DO) has emerged as an effective surgical intervention for addressing this complex condition. This case series outlines the outcomes, encountered difficulties, and insights gained through the utilization of Lefort III Distraction Osteogenesis (DO).

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Macular Edema Ranibizumab v. Intravitreal anti-inflammatory Therapy (MERIT) Trial-24-week Outcomes of Uveitic Macular Edema Retreatment.

Ophthalmology

November 2024

Center for Clinical Trials and Evidence Synthesis, Departments of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Department of Ophthalmology, The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Purpose: Evaluation of longer-term effectiveness of three intravitreal therapies (methotrexate, ranibizumab, or dexamethasone implant) for participants enrolled in the randomized comparative effectiveness trial the Macular Edema Ranibizumab versus Intravitreal anti-inflammatory Therapy (MERIT) Trial followed for24 weeks.

Design: Multicenter randomized controlled clinical trial with masked evaluation of retinal thickness and visual acuity.

Participants: Patients with persistent or recurrent uveitic macular edema.

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Background: Telomerase has been linked to aging and cancer. The MNS16A polymorphism in the hTERT gene plays a significant role in modulating telomerase activity and highlights the complexity of telomere-related genetics in cancer research.

Experimental Design: We genotyped 401 lung-cancer samples treated with platinum-based chemotherapy to identify the MNS16A polymorphism.

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Background: Neck pain is a significant health concern for unilateral upper limb amputees (UULAs), affecting their functional status and quality of life.

Objectives: To address the neck pain burden that is adding to UULA's pre-existing disability and help Physical therapists to judiciously design and execute effective therapeutic strategies.

Methods: We searched databases for articles till October 23, 2023, and included primary studies reporting neck pain prevalence among UULAs.

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Article Synopsis
  • Therapeutic plasma exchange (TPE) can lead to low calcium levels due to the use of Anticoagulant Citrate Dextrose Solution A, and adding different concentrations of calcium gluconate to human serum albumin may help prevent this issue.* -
  • A study comparing two groups of TPE procedures found that while intraprocedural calcium levels were similar, post-procedural ionized calcium was significantly lower in the group with less calcium, leading to more cases of symptomatic hypocalcemia and vasovagal reactions.* -
  • The results suggest that using a higher concentration of calcium gluconate (18.6 mg of elemental calcium/100 ml) is safer and more effective in maintaining calcium levels during
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Impact of COVID-19 pandemic on HTAsiaLink network members.

Int J Technol Assess Health Care

November 2024

Health Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Thailand.

Objectives: This study investigates the impact of coronavirus disease 2019 (COVID-19) pandemic on HTAsiaLink members at the organizational level and provides recommendations for mitigating similar challenges in the future.

Methods: A survey was disseminated among HTAsiaLink members to assess the COVID-19 impact in three areas: (i) inputs, (ii) process, and (iii) outputs of the Health Technology Assessment organizations' (HTAOs) research operations and HTA process in general.

Results: Survey results showed that most HTAOs hired more staff and secured similar or higher funding levels during COVID-19.

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Objective: Traumatic brain injury (TBI) prediction models have gained significant attention in recent years because of their potential to aid in clinical decision making. Existing models, such as Corticosteroid Randomization after Significant Head Injury and International Mission for Prognosis and Analysis of Clinical Trials, are currently losing external validity and performance, probably because of their diverse inclusion criteria and changes in treatment modalities over the years. There is a lack of models that predict outcomes strictly pertaining to primary decompression after TBI.

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Background: An eschar is not always present in all scrub typhus patients. Furthermore, such patients may present to tertiary care hospitals after administration of doxycycline. The present study aimed to determine the usefulness of using the swab from eschar sites in the diagnosis of scrub typhus in patients who present post-doxycycline therapy.

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Article Synopsis
  • Transplant Renal Artery Stenosis (TRAS) is the most common vascular issue after kidney transplants, linked to higher rates of transplant failure and mortality.
  • A study at a major transplant center focused on identifying risk factors for clinical TRAS (cTRAS) in living donor kidney transplants, revealing that arterial vascular reconstruction of multiple renal arteries (VR-MRA) significantly raises the risk of cTRAS.
  • Among diagnosed cTRAS cases, a majority received successful endovascular treatment, leading to outcomes in graft and patient survival comparable to those without cTRAS, emphasizing the importance of early screening and prompt intervention.
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Background: Hyperemesis gravidarum (HG) refers to intractable vomiting during pregnancy and is rarely associated with Wernicke's encephalopathy (WE). HG-associated WE can lead to mortality and permanent cognitive impairment if left untreated. In this report, we present two cases of WE following HG occurring in the context of comorbid severe depression.

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Article Synopsis
  • The study focuses on patients with carcinoma of unknown primary who underwent specific surgical procedures, including transoral robotic surgery and neck dissection, to understand the patterns of cervical nodal metastasis.
  • It reports a majority of patients presenting clinically as N2b, while histopathological results showed a higher prevalence of N3b disease, indicating some discrepancy between clinical evaluation and actual disease state.
  • The most affected lymph node level was consistently found to be level II, with significant findings related to Lymph Node Yield (LNY) and emerging concepts like Lymph Node Ratio (LNR) and Lymph Node Density (LND) to better analyze the metastasis characteristics.
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Association between retinal vessels caliber and systemic health: A comprehensive review.

Surv Ophthalmol

November 2024

Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; Programme for Ocular Inflammation and Infection Translational Research (PROTON), Singapore; Singapore Eye Research Institute, Singapore; Duke NUS Medical School, Singapore. Electronic address:

Article Synopsis
  • The retinal microvasculature can be visualized non-invasively, making it a promising method for detecting microvascular changes linked to systemic diseases like diabetes, hypertension, and cerebrovascular issues.
  • Research shows that structural changes in the retinal blood vessels correlate with cardiovascular risks and can predict complications and mortality from systemic hypertension.
  • There is a push for better diagnostic tools using retinal imaging, emphasizing the importance of understanding 3D vascular structures and advocating for larger, long-term studies to clarify how these retinal changes relate to various systemic health conditions.
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Antiviral therapy for cytomegalovirus retinitis: A systematic review and meta-analysis.

Surv Ophthalmol

November 2024

Programme for Ocular Inflammation & Infection Translational Research, National Healthcare Group, Singapore, Singapore; Department of Bioinformatics, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital, UK; UCL-Institute of Ophthalmology, UK; National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore; Duke NUS Medical School, Singapore; Singapore Eye Research Institute, Singapore.

Article Synopsis
  • Cytomegalovirus retinitis (CMVR) is a major cause of blindness in advanced AIDS patients, with varied treatment approaches due to the lack of established guidelines.
  • A review of 59 studies revealed an 18% improvement in visual acuity and a 90% rate of inflammation resolution, with ganciclovir being the most commonly used antiviral treatment.
  • Notably, patients on antiretroviral therapy (ART) had a significantly lower recurrence rate of inflammation compared to those not on ART, and the most common side effect reported was neutropenia related to ganciclovir.
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