1,565 results match your criteria: "Postgraduate Institute of medical Education and Research PGIMER[Affiliation]"

Article Synopsis
  • The study examined the 4G/5G polymorphism in the plasminogen activator inhibitor-1 (PAI-1) gene to determine its link to deep vein thrombosis (DVT) in an Indian population.
  • Results indicated that the 4G/5G polymorphism itself did not significantly increase DVT risk, despite some previous studies suggesting otherwise.
  • However, individuals with the 4G/4G genotype showed a significant association with protein C deficiency and had lower PAI-1 levels compared to controls, indicating potential complex interactions with other thrombophilic risk factors.
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species are endowed with the ability to produce biofilms, which is one of the causes of pathogenicity, as biofilms protect yeasts from antifungal drugs. () is one of the most prevalent pathogenic yeasts in humans and a biofilm producer. The study was aimed at evaluating the combined effects of two highly promising antifungal biomolecules (AF and AF) lipopeptide in nature, chromatographically purified to homogeneity from () and the standard antifungal fluconazole (at different concentrations) to demonstrate biofilm formation inhibition.

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Super-bioavailable itraconazole (SB ITZ) overcomes the limitations of conventional itraconazole (CITZ) such as interindividual variability and reduced bioavailability. It has been approved for systemic mycoses in Australia and Europe as 50 mg and the USA as 65 mg and in India as 50 mg, 65 mg, 100 mg, and 130 mg. However, data on the ideal dose and duration of SB ITZ treatment in managing dermatophytosis are insufficient.

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Chest wall tuberculosis is a very rare clinical entity that accounts for 1-5% of musculoskeletal tuberculosis (TB). Here we present a case of chest wall TB. A 16-year-old boy presented with complaints of progressive increasing swelling over the right hemithorax following a history of trauma.

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In recent decades, hypertension has become the foremost risk factor for disability-adjusted life years (DALYs). The present study investigated the relationship between quality of life, depression, and hypertension among hospitalized patients in Afghanistan. A cross-sectional survey was administered from September 3, 2022, to February 2, 2023, in the Herat and Mazar-e-Sharif provinces of Afghanistan (N = 2059).

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Objectives: Common mental disorders (CMDs), including depression, anxiety, and somatoform disorders, affect all stages of life and impact individuals, families, and communities. This study aimed to determine the magnitude of CMDs and their sociodemographic determinants in the adult population of a rural block in North India.

Material And Methods: A cross-sectional, quantitative, community-based study was conducted among adult residents of a rural block in Haryana, North India, using a multistage random sampling technique.

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Corneal wound healing requires epithelial reorganization and stromal extracellular matrix (ECM) remodeling, with ECM proteins such as Tenascin C (TnC) regulating and maintaining corneal homeostasis. The N-terminal globular domain and C-terminal fibrinogen-related domains of TnC are separated by epidermal growth factor (EGF)-like repeats, and upto fifteen fibronectin type III domains (Tn fn). Overexpression of Tn fn 1-5 and its splice variants occurs in varied pathologies.

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Management of Extraocular Retinoblastoma: ICMR Consensus Guidelines.

Indian J Pediatr

November 2024

Department of Medical Oncology, Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

Article Synopsis
  • - Retinoblastoma (RB) is the most common eye cancer in children, and its advanced stages are often seen in low and middle-income countries (LMICs) due to factors like lack of awareness and limited healthcare access.
  • - Significant advancements in treating extraocular retinoblastoma (EORB) have been made, focusing on reducing treatment toxicity through the use of chemotherapy, surgery, and radiotherapy.
  • - The article discusses ICMR consensus guidelines for managing EORB and metastatic RB, highlighting ongoing challenges and the generally poor prognosis in LMICs.
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Patients with rheumatoid arthritis (RA) often have one or more painfuljoints despite adequate medicine. Local drug delivery to the synovial cavity bids for high drug concentration with minimal systemic adverse effects. However, anti-RA drugs show short half-lives in inflamed joints after intra-articular delivery.

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Article Synopsis
  • The study examines the clinical utility and economic implications of pharmacogenetic testing (PGT) for warfarin therapy in low to middle-income countries, comparing it to standard care (SOC).
  • It involved a randomized trial with 168 patients and found that those receiving PGT-guided therapy spent significantly more time in the therapeutic INR range and reached this range faster than those on SOC.
  • Despite the slightly higher lifetime costs for PGT therapy, the quality-adjusted life years (QALY) gained were similar for both treatment strategies, suggesting that cost-effective benefits may exist with PGT in specific scenarios.
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Objectives: Family caregivers (FCGs) play a crucial role in the home care of terminally ill patients. Therefore, evaluating their comprehension of patients' symptoms and doctors' advice becomes crucial. Moreover, this might negatively impact their quality of life (QOL).

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Background: Developing an infrastructure to support tobacco cessation through existing systems and resources is crucial for ensuring the greatest possible access to cessation services. The present study aims to evaluate the effectiveness of a newly developed multi-component cessation among tobacco users in Non- Communicable Disease (NCD) clinics, functioning under the National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases, & Stroke (NPCDCS) of the Government of India.

Methods: The intervention package consisting of culture- and disease-specific four face-to-face counselling sessions, pamphlets, and short text messages (bilingual) with follow-ups at 3rd, 6th, and 9th months with an endline assessment at 12th months was delivered to the intervention arm of the two-arm- parallel group randomised controlled trial at two selected NCD clinics.

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Article Synopsis
  • There's a growing focus on ethnic dermatology as skin of color populations increase worldwide, facing challenges like hyperpigmentation disorders that are hard to treat with standard therapies.
  • Recent research highlights the development of laser technologies aimed at different types of hyperpigmentation, emphasizing the importance of understanding these advancements for effective treatment.
  • A study with 122 Indian patients showed that specific laser combinations led to significant improvement in pigmentation issues, demonstrating the potential effectiveness of these technologies in various skin types, particularly darker Fitzpatrick categories.
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Article Synopsis
  • Two main strategies are used to treat invasive fungal diseases in children with febrile neutropenia: empirical therapy (treatment without confirmation of the diagnosis) and pre-emptive therapy (treatment after screening tests).
  • A systematic review of literature found only one relevant randomized controlled trial comparing these two therapies in children, showing no significant differences in mortality or other critical clinical outcomes.
  • The study indicates a lack of comprehensive data on the effectiveness of these approaches, suggesting that further research is needed to determine the best treatment method in clinical settings.
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Natriuretic peptides (NPs) play a significant role in the pathophysiology of heart failure (HF) and are considered reliable diagnostic and prognostic indicators of congestive HF. Pulmonary congestion in HF patients leads to clinical deterioration and hospitalizations. It remains an important aspect to address the management and treatment tailoring in HF patients.

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Rosai-Dorfman disease (RDD) is characterized by clonal proliferation of S-100 positive histiocytes and variable emperipolesis. It commonly affects cervical lymph nodes. Central nervous system (CNS) involvement is extremely rare.

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Estrogen Receptor 1 Gene Polymorphism and its Association with Idiopathic Short Stature in a North Indian Population.

J Clin Res Pediatr Endocrinol

September 2024

Postgraduate Institute of Medical Education and Research (PGIMER), Advanced Pediatrics Centre, Genetic and Metabolic Unit, Chandigarh, India

Objective: In the hypothalamic-pituitary-gonadotrophin axis, estrogen plays a key role in the regulation of bone maturation and growth plate closure. This study was designed to explore the link between single nucleotide polymorphisms (SNPs) in the estrogen receptor 1 () gene with idiopathic short stature (ISS) susceptibility in a North Indian population.

Methods: Four SNPs of (rs543650, rs6557177, rs2234693 and rs9340799) were genotyped by Sanger sequencing in ISS patients and controls.

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Background: Tumour microenvironment (TME) contributes to resistance to anti-cancer drugs through multiple mechanisms including secretion of pro-survival factors by cancer associated fibroblasts (CAFs). In this study, we determined the chemotherapy resistance producing potential of CAFs in molecular subtypes of breast cancer.

Methods: The CAFs were isolated from fresh lumpectomy/mastectomy specimens of different molecular subtypes of breast cancer.

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Recurrent Guillain-Barré Syndrome: Clinical Profile and Outcome - Authors' Reply.

Indian J Pediatr

October 2024

Division of Pediatric Emergency and Intensive Care Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.

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Tuberculosis (TB) is a global health concern and central nervous system (CNS) TB leads to high mortality and morbidity. CNS TB can manifest as tubercular meningitis, tuberculoma, myelitis, and arachnoiditis. Neuro-ophthalmological involvement by TB can lead to permanent blindness, ocular nerve palsies and gaze restriction.

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