22 results match your criteria: "SKN Medical College[Affiliation]"

Background: Chronic conditions such as obesity are associated with adverse outcomes in coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) patients. The aim of our study was to evaluate the relationship between BMI and outcomes in critically ill patients with COVID-19 ARDS.

Methods: A retrospective study including all patients with COVID-19 and ARDS on mechanical ventilation admitted to the intensive care unit (ICU) over 2 years.

View Article and Find Full Text PDF

Utility of BoneXpert in assessing bone age and bone health in Indian children and youth with type 1 diabetes mellitus.

Bone

October 2023

Department of Paediatric growth and Endocrinology, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India; Interdisciplinary School of Health Sciences, Savitribai Phule University, Pune, India.

Article Synopsis
  • BoneXpert (BX) is useful for evaluating bone age (BA) and metacarpal index (MCI) in Indian children and youth with type-1 diabetes (T1D), but its application in this group had not been previously studied.
  • A study of 1,272 T1D subjects revealed that BX can accurately assess BA, with minimal errors compared to established methods, and MCI showed a significant correlation with bone density measurements.
  • Findings indicated that over 50% of subjects exhibited decreased MCI, highlighting the importance of monitoring factors like height and vitamin D levels, as well as the negative impact of HbA1c and T1D duration on bone health.
View Article and Find Full Text PDF

Background: Patients with coronavirus disease 2019 (COVID-19) pneumonitis may progress to acute respiratory distress syndrome (ARDS) requiring endotracheal intubation and prolonged mechanical ventilation (MV). There are limited data on the optimum time of tracheostomy in COVID-19 patients progressing to ARDS.

Methods: This was a retrospective observational study of all patients diagnosed with COVID-19 who progressed to ARDS requiring MV and undergone tracheostomy.

View Article and Find Full Text PDF

Metabolic management of accidental intoxication.

Curr Opin Clin Nutr Metab Care

March 2024

Senior Specialist Intensive Care Unit, Rashid Hospital and Emergency Trauma Centre, Dubai, UAE.

Purpose Of Review: Unintentional intoxication comprises a major chunk of all intoxications. Most patients are in the pediatric age group with another set of patients being the elderly. Substances found to cause accidental intoxication vary from country to country and even within different regions of a country.

View Article and Find Full Text PDF

Study Design: A systematic review of the literature to develop an algorithm formulated by key opinion leaders.

Objective: This study aimed to analyze currently available data and propose a decision-making algorithm for full-endoscopic lumbar discectomy for treating lumbar disc herniation (LDH) to help surgeons choose the most appropriate approach [transforaminal endoscopic lumbar discectomy (TELD) or interlaminar endoscopic lumbar discectomy (IELD)] for patients.

Summary Of Background Data: Full-endoscopic discectomy has gained popularity in recent decades.

View Article and Find Full Text PDF

Background: India, along with the rest of the world, faced the challenging severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. The second wave in India lagged behind that in the Western world, due to different timing of seasons. There is scarce data about the differences between the two waves, for intensive care unit (ICU) patients.

View Article and Find Full Text PDF

Bhosale SJ, Khatib KI. Increasing the Safety of Percutaneous Dilatational Tracheostomy in COVID-19 Patients. Indian J Crit Care Med 2021;25(6):610-612.

View Article and Find Full Text PDF

Pathophysiological Mechanisms and Neurological Manifestations in COVID-19.

Indian J Crit Care Med

October 2020

Department of Neuro Surgery, PD Hinduja, Mumbai, Maharashtra, India.

With increasing knowledge of the coronavirus disease-2019 (COVID-19), we now understand that COVID-19 presents with various extrapulmonary manifestations with multi-organ involvement. Involvement of the central nervous system (CNS) occurs probably via transsynaptic spread or transfer across the blood-brain barrier. Hypoxia, immune-mediated injury, and vascular damage are the potential mechanisms for the CNS manifestations.

View Article and Find Full Text PDF

Current Approaches to COVID-19: Therapy and Prevention.

Indian J Crit Care Med

September 2020

Department of Critical Care, Nanavati Hospital, Mumbai, Maharashtra, India.

The coronavirus disease-2019 (COVID-19) pandemic has affected millions of people worldwide. As our understanding of the disease is evolving, our approach to the patient management is also changing swiftly. Available new evidence is helping us take radical decisions in COVID-19 management.

View Article and Find Full Text PDF

Study Design: International consensus paper on a unified nomenclature for full-endoscopic spine surgery.

Objectives: Minimally invasive endoscopic spinal procedures have undergone rapid development during the past decade. Evolution of working-channel endoscopes and surgical instruments as well as innovation in surgical techniques have expanded the types of spinal pathology that can be addressed.

View Article and Find Full Text PDF

ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs.

Indian J Crit Care Med

January 2020

Department of Division of Critical Care Medicine, Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India, , e-mail:

Unlabelled: A. ACUTE HYPERCAPNIC RESPIRATORY FAILURE A1. Acute Exacerbation of COPD: Recommendations: NIV should be used in management of acute exacerbation of COPD in patients with acute or acute-on-chronic respiratory acidosis (pH = 7.

View Article and Find Full Text PDF

Background: Characteristics of patients admitted to intensive care units with respiratory failure (RF) and undergoing mechanical ventilation (MV) have been described for particular indications and diseases, but there are few studies in the general Intensive Care Unit (ICU) population and even lesser from developing countries.

Objective: This study aims to study clinical characteristics, outcomes, and factors affecting outcomes in adult patients with RF on MV admitted to ICU.

Methods: A retrospective study of medical records of all patients admitted to ICU between January 1, 2015, and March 31, 2016.

View Article and Find Full Text PDF

Introduction: The traditional texts designate Cow Ghee as Medhya Rasayana, beneficial for mental alertness and memory. There has been concern about increased risk of cardiovascular disease due to its high percentage of saturated fatty acids in ghee. Amongst all edible fats, nutrition composition of cow ghee and butter is comparatively similar.

View Article and Find Full Text PDF

Carpal Tunnel Syndrome in Hypothyroidism.

J Clin Diagn Res

February 2016

Assistant Professor, Department of Medicine, SKN Medical College, Pune, Maharashtra, India .

Introduction: Carpal Tunnel Syndrome (CTS) is an entrapment neuropathy that occurs due to compression of median nerve in the carpal tunnel and hypothyroidism is one of the important causes of CTS.

Aim: To study clinical profile of carpal tunnel syndrome in patients with primary hypothyroidism.

Materials And Methods: This was cross-sectional study done in Smt.

View Article and Find Full Text PDF

Introduction: Vitamin B12 deficiency is mainly diagnosed in symptomatic patients. However, the deficiency may also be prevalent in asymptomatic patients. Our aim was to study the prevalence of Vit B12 deficiency in IT professionals (Information Technology Professionals from Software industry) who presented for routine health screening and to correlate the deficiency to various parameters.

View Article and Find Full Text PDF

Introduction: A typical presentations of tuberculosis are not uncommon. Periprosthetic infection with tuberculosis after total joint replacement has well published. Tuberculosis of the elbow following open reduction internal fixation of a distal humerus fraeture is extremely rare.

View Article and Find Full Text PDF

Background: Pedicle screws are used increasingly in spine surgery. Concerns of complications associated with screw breach necessitates accurate pedicle screw placement. Postoperative CT imaging helps to detect screw malposition and assess its severity.

View Article and Find Full Text PDF

Pancreaticoduodenectomy for paediatric pancreatic trauma with a decade of follow-up.

Afr J Paediatr Surg

April 2015

Assistant Professor, Department of General Surgery, SKN Medical College and General Hospital, Pune, Maharashtra, India.

Pancreaticoduodenal injuries are rare in children. They pose challenges for the treating surgeon in decision making with respect to diagnosis, surgical and post-surgical management. The management plan must be tailored to the nature and severity of trauma, patient profile, surgeon's expertise and the resources available at surgeon's disposal.

View Article and Find Full Text PDF