322 results match your criteria: "S C B Medical College[Affiliation]"

Background: Disseminated intravascular coagulation (DIC) is a potentially fatal condition which is always secondary to an underlying disorder with abruption being the most common cause in obstetrics.Our study analysed the modified International Society of Thrombosis and Haemostasis DIC score for prediction of DIC in cases of abruptio placentae. Additionally, we correlated the score with severity of abruption to optimize its use in limited resource settings.

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Background: The foremost concern and challenge in managing drug-resistant tuberculosis is ensuring a high health-related quality of life (HRQoL). The effectiveness of pre-extensively drug-resistant (Pre-XDR) tuberculosis management hinges on patients adhering to therapy, a crucial factor in averting the development of drug-resistant strains, ultimately enhancing HRQoL.

Methodology: This analytical longitudinal study spanned two years at a teaching hospital and involved collaboration between the Departments of Pharmacology and Pulmonary Medicine.

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Background: New onset seizures in pregnancy and postpartum are considered eclampsia as the default diagnosis. Other causes, such as intracranial haemorrhage, subarachnoid haemorrhage, cerebral venous sinus thrombosis or acute ischaemic stroke, have a similar mode of presentation, but need prompt diagnosis and institution of specific measures to decrease the risk of mortality and morbidity. Neuroimaging plays an important role in providing a specific diagnosis and hence aids in proper management.

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Introduction: The objective of the present study is to evaluate the various pelvi-calyceal anatomy related and stone related parameters and their influence on stone free rate in retrograde intrarenal surgery for lower calyceal stones.

Methods: The retrospective analysis of records of 206 patients who underwent retrograde intrarenal surgery for lower calyceal stones from December 2021 and November 2023.The patients were divided into two groups: stone free group and residual stone group.

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  • Therapeutic plasma exchange (TPE) is a medical procedure that separates plasma from blood cells to treat conditions caused by immune system issues by removing harmful substances like antibodies and toxins.
  • The study analyzed medical records of 118 patients who underwent TPE for neurological disorders, focusing on the effectiveness, complications, and reasons for incomplete cycles of TPE.
  • Results showed that GBS was the most common reason for TPE, with 57.6% of patients completing all sessions; however, issues like vascular access blockage and mild complications such as cramps were noted.
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  • A case-control study aimed to evaluate the resistive index of the intratesticular artery as a predictor of spermatogenesis, comparing 50 men with oligoasthenozoospermia to 50 men with normal sperm counts from April 2021 to March 2023.
  • Results showed significant differences in semen volume, sperm concentration, motility, and hormonal levels between the two groups, particularly in the resistive index values (0.63 in cases vs. 0.53 in controls).
  • The study concludes that the resistive index of the intratesticular artery can serve as a valuable marker for assessing spermatogenesis.
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  • - Amoxicillin/clavulanate (co-amoxiclav) is a commonly used antibiotic effective against certain resistant bacteria, but there's a lack of solid data supporting current dosing guidelines.
  • - A review of literature from 1992 to 2024 focused on the high-dose co-amoxiclav (875 mg/125 mg) and found it effective for various infections like pneumonia and sinusitis, often performing as well or better than other antibiotics.
  • - Co-amoxiclav (875 mg/125 mg) is generally well-tolerated, primarily causing mild gastrointestinal side effects, and its optimized dosing helps improve treatment outcomes in the face of rising antibiotic resistance.
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Unlabelled: With the increasing rate of infections caused by multidrug-resistant organisms (MDRO), selecting appropriate empiric antibiotics has become challenging. We aimed to develop and externally validate a model for predicting the risk of MDRO infections in patients with cirrhosis.

Methods: We included patients with cirrhosis and bacterial infections from two prospective studies: a transcontinental study was used for model development and internal validation (n = 1302), and a study from Argentina and Uruguay was used for external validation (n = 472).

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 The flexor hallucis longus (FHL) muscle is crucial in fine motor control of the great toe but the muscle is often sacrificed in free fibula flap (FFF) reconstruction. The aim of this study was to compare great toe movement between complete and partial FHL resection during FFF harvest to see if FHL can be left behind (without undergoing fibrosis) in situ when bulk is not required at the recipient site.  A prospective, cross-sectional, observational study was performed including patients undergoing FFF harvest over a 2-year period.

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Purpose: The purpose of this study was to analyse the independent prognostic significance of perineural invasion (PNI) on local recurrence (LR) in patients with oral squamous cell carcinoma (OSCC) managed primarily with surgery.

Subjects And Methods: Clinical and histopathological data of 195 patients with OSCC were analysed retrospectively to identify risk factors associated with PNI and to evaluate its significant correlation with local recurrence, overall survival (OS) and recurrence free survival (RFS).

Results: Patients were followed for a mean period of 39.

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  • Tuberculosis-immune reconstitution inflammatory syndrome (TB-IRIS) is a severe immune reaction against tuberculosis seen in individuals with HIV, often triggered by antiretroviral therapy (ART) that boosts immunity.
  • An observational study at S.C.B. Medical College evaluated 286 HIV/AIDS patients on ART, revealing a 7.7% incidence of TB-IRIS, with a notable difference in the occurrence of paradoxical vs. ART-associated TB-IRIS.
  • The study found significant increases in CD cell counts and differences in plasma viral loads before and after TB-IRIS onset, highlighting the need for careful monitoring of HIV patients for TB coinfection.
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Introduction: Objective of this study was to assess the diagnostic efficacy of the most commonly used radiological evaluation in form of contrast enhanced computed tomography of abdomen with adrenal protocol, basic functional evaluation and surgical outcomes of primary adrenal masses.

Material And Methods: We have retrospectively analysed the institutional records of 108, patients admitted from August 2017 to September 2023, who had underwent surgical intervention for their adrenal mass after thorough evaluation and stabilization.

Results: Flank pain was the most common symptoms in 44 (40.

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Tracheostomy is a surgical procedure in an emergency setting to relieve the upper airway obstruction by creating an opening in the anterior part of trachea. It can also be done electively to wean off from a ventilator, during an elective surgery and clearance of pulmonary secretions. This study was a retrospective analysis of microbiological profile, antibiotic sensitivity & resistance pattern in patients with a tracheostomized wound.

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Hepatic involvement in sarcoidosis, though common, is usually asymptomatic. Hepatomegaly and deranged liver function tests are the usual manifestations. However, unexplained hepatomegaly in sarcoidosis not responding to immunosuppressive therapy could indicate an alternative pathology.

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  • The study evaluates clinical and oncological outcomes as well as renal function in patients who underwent radical cystectomy with pelvic lymphadenectomy for aggressive bladder cancer.
  • Out of 156 patients, 114 had high-grade transitional cell carcinoma, with 69.7% experiencing cancer recurrence post-surgery, mostly at distant sites.
  • The findings indicate a positive overall survival rate of 66.67% at 5 years, while pre-operative kidney function significantly affects post-operative renal outcomes.
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Mini-screws, also known as temporary anchorage devices (TADs), offer enhanced control and versatility in orthodontic treatment by providing stable anchorage points. This clinical study aims to evaluate the effectiveness of mini-screw-supported molar intrusion in orthodontic practice. For this clinical study, a cohort of 40 orthodontic patients with various malocclusions requiring molar intrusion as part of their treatment plan was recruited.

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Objective: The objective of the study was to conduct a comparative analysis of various intraoperative parameters and postoperative outcomes between the laparoscopic extravesical repair versus the laparoscopic O'Connor repair techniques in management of supratrigonal vesicovaginal fistula.

Methods: A prospective nonrandomized study was conducted from January 2018 to January 2023, in which 36 patients who met inclusion criteria like primary or recurrent, single, simple, supratrigonal vesicovaginal fistula were included. Among these patients 18 patients were operated with laparoscopic O'Connor repair, while 18 were operated with laparoscopic transperitoneal extravesical vesicovaginal fistula repair.

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Objective: To assess the association between breastfeeding competency, as determined by Latch, Audible swallowing, Type of nipple, Comfort, and Hold (LATCH) and Preterm Infant Breastfeeding Behavior Scale (PIBBS) scores, and exclusive breastfeeding and growth among infants with low birth weight (LBW) in India, Malawi, and Tanzania.

Study Design: We conducted LATCH and PIBBS assessments among mother-infant dyads enrolled in the Low Birthweight Infant Feeding Exploration (LIFE) observational study of infants with moderately LBW (1500g-2499 g) in India, Malawi, and Tanzania. We analyzed feeding and growth patterns among this cohort.

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Background: The administration of an appropriate empirical antibiotic treatment is essential in cirrhosis and severe bacterial infections. We aimed to investigate the predictors of clinical response of empirical antibiotic treatment in a prospective cohort of patients with cirrhosis and bacterial and fungal infections included in the International Club of Ascites "Global Study."

Methods: Patients hospitalized with cirrhosis and bacterial/fungal infection were prospectively enrolled at 46 centers.

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