519 results match your criteria: "SRM Medical College hospital and research centre[Affiliation]"

MiR-142-5p mediated Nrf2 dysregulation in gestational diabetes mellitus and its impact on placental angiogenesis.

Placenta

December 2024

Department of Biotechnology, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur, 603 203, Tamil Nadu, India. Electronic address:

Introduction: Gestational diabetes mellitus (GDM) presents significant risks during pregnancy, including adverse perinatal outcomes and placental dysfunction. Impaired angiogenesis, involving crucial factors like Vascular Endothelial Growth Factor (VEGF), contributes to these complications. The Nrf2/Keap1 pathway, crucial for vascular redox homeostasis, has been linked to GDM-associated angiogenesis dysregulation.

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Article Synopsis
  • Lumbar spine surgeries often cause significant post-op pain, and two regional anesthesia methods, Erector Spinae Plane Block (ESPB) and Thoracolumbar Interfascial Plane Block (TLIPB), are being compared for their effectiveness in pain management.
  • In a study with 60 patients, results showed that patients receiving the ESPB technique consumed more opioids and experienced higher pain scores compared to those receiving TLIPB, which also provided a quicker analgesic effect.
  • Overall, while both techniques are effective, TLIPB may reduce opioid use and is quicker to provide relief, but ESPB may last longer in terms of pain management, calling for further research to confirm these findings.
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Systemic lupus erythematosus (SLE) is an intricate autoimmune disease characterized by its impact on various organ systems, presenting with a wide range of clinical manifestations such as hematologic, neuropsychiatric, mucocutaneous, serosal, musculoskeletal, immunologic, cardiac, pleuropulmonary, and renal symptoms. Although its etiology is primarily autoimmune, various triggers, such as pregnancy, certain drugs, and infections, can result in "flares" with frequent relapses. Although more common in females, SLE is not uncommon in males, with a significant proportion experiencing a high disease burden.

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Signal Typing and Acoustic Analysis of Voice in School-Aged Indian Children.

J Voice

October 2024

Department of Audiology and Speech-Language Pathology, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu District, Tamil Nadu, India. Electronic address:

Article Synopsis
  • - This study aimed to classify voice signals in children aged 4 to 16 using narrowband spectrograms and assess their quality through auditory evaluation, focusing on distinguishing between different types of voice signals.
  • - Researchers recorded voice samples from 457 boys and girls, generating spectrograms, having two raters classify the signals, and calculating acoustic measures with PRAAT software, achieving a high level of agreement in classifications.
  • - Results showed that 79% of samples were classified as type 1 voices, with significant differences in certain acoustic measures based on age and sex, providing valuable normative data for understanding and comparing pediatric dysphonia.
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Background The metabolic score for insulin resistance (METS-IR) is a neoteric score for assessing insulin resistance that has been used as a non-insulin-based, objectively measured method. It is an easily accessible tool that can be used on a large scale to detect insulin resistance in a community. Methods We conducted a retrospective cohort study to explore the utility of this score in identifying metabolic risk in those individuals attending a master health checkup in a tertiary care setting.

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  • Crohn's disease (CD) significantly affects patients' quality of life, and this review assesses the effectiveness and safety of upadacitinib, a JAK inhibitor, in treating it.
  • The analysis included seven studies with 1,481 patients, and results showed upadacitinib outperforms placebo in achieving clinical remission and reducing inflammation quickly, often within five to six days.
  • While the treatment has a generally acceptable safety profile, with risks like infections and laboratory abnormalities, it presents as a promising option for managing moderate to severe CD, particularly for those who have not responded to other therapies.
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Dengue and Typhoid: A Duet of Choreoathetosis.

Cureus

September 2024

General Medicine, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, SRM Institute of Science and Technology (SRMIST), Chengalpattu, IND.

Article Synopsis
  • A 16-year-old male with fever presented typical symptoms of paroxysmal dystonic choreoathetosis after an acute illness, but initially showed no involuntary movements.
  • * While hospitalizing, he developed involuntary movements in both upper and lower limbs, as well as his face, suggesting a rare condition.
  • * Co-infection with dengue and typhoid, which is becoming more common, complicates treatment and management for physicians.
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  • - Scrub typhus, common in tropical areas, can cause a variety of symptoms ranging from mild to severe, including respiratory and neurological issues, as seen in a rare case of a 34-year-old male experiencing high fever and muscle pain.
  • - Despite initial treatment with antipyretics and oral antibiotics, the patient's condition worsened, leading to blurred vision, prompting further investigation that confirmed a diagnosis of scrub typhus with opsoclonus.
  • - The patient improved significantly after receiving doxycycline, highlighting the importance of considering unusual infections in patients with neurological symptoms for timely and effective treatment.
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Background: Artificial intelligence (AI) has the potential to transform healthcare practices, but the successful adoption of AI depends on the perception and acceptance of healthcare professionals. This study aimed to assess the understanding of AI concepts, recognize the attitude toward AI integration, and identify the barriers to AI adoption among healthcare professionals in a tertiary care hospital.

Methods: A cross-sectional study was conducted among 200 healthcare professionals, including doctors, nurses, and paramedics, in a tertiary care teaching hospital in Chengalpattu district, India.

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Pioneering diabetes screening tool: machine learning driven optical vascular signal analysis.

Biomed Phys Eng Express

November 2024

Department of Biomedical Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, 603203, India.

The escalating prevalence of diabetes mellitus underscores the critical need for non-invasive screening tools capable of early disease detection. Present diagnostic techniques depend on invasive procedures, which highlights the need for advancement of non-invasive alternatives for initial disease detection. Machine learning in integration with the optical sensing technology can effectively analyze the signal patterns associated with diabetes.

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Eating habit, body image, and gender - is there any association? - A comparative study among medical students from southern India.

J Educ Health Promot

August 2024

Department of Physiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidhyapeeth, (Deemed to be University), Puducherry, India.

Background: An increase in overweight and obesity among young adults are major health concerns which can influence their self-perception about body image. Body image has received a great deal of attention among young people. Body dissatisfaction is an extremely powerful construct that pervades our self-esteem, resulting in psychological impact and disordered eating.

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  • Bronchiolitis is a common respiratory illness in children under two, primarily caused by respiratory syncytial virus, leading to respiratory distress and wheezing.
  • The study focused on children with their first wheezing episode, excluding those with pre-existing health conditions, to assess clinical profiles, risks, severity, and outcomes using statistical analysis.
  • Results showed that younger children faced more severe bronchiolitis, with higher prevalence in males, and initial symptoms often included cough and respiratory distress, particularly in those with irritability.
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Background Prostate disorders, including benign enlargement and malignancy, are commonly evaluated through imaging techniques. Historically, transrectal ultrasound (TRUS) has been used for prostate imaging and biopsy. However, multiparametric MRI (mpMRI), which integrates structural and functional imaging methods, offers enhanced diagnostic capabilities.

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Xanthogranulomatous pyelonephritis (XGPN) is a chronic granulomatous inflammatory condition that affects the kidney and can often be hard to diagnose preoperatively due to its varying clinical presentations. We present here a rare case of a 36-year-old man with focal XGPN with preoperative CT imaging showing a large heterogenous lesion (computer tomography Hounsfield unit (CT HU) + 20) of size ~ 8.6 x 8.

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  • * A case report discusses a patient with type 2 diabetes who had unusual symptoms that made it hard to diagnose, with initial treatments failing.
  • * The use of advanced microbiological methods helped quickly identify the pathogen, leading to effective treatment and stressing the importance of considering melioidosis in severe infection cases, especially for patients with preexisting conditions.
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  • The study investigates how marital status influences the quality of life (QoL) of women, comparing married and single women living near a tertiary care hospital.
  • It involved 200 women (100 married and 100 single), using the WHO-QOL-BREF questionnaire to assess various QoL aspects including physical, psychological, social, and environmental factors.
  • Results indicated that married women had higher family incomes and better social QoL scores, while single women were generally younger and lived in nuclear families; however, there were no significant differences in physical, psychological, or environmental QoL domains between the two groups.
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  • A 28-year-old male suffered a rare talus fracture after a road traffic accident, leading to severe pain and inability to walk.
  • Imaging revealed multiple fractures in the talus, prompting surgical intervention involving open reduction and internal fixation.
  • Post-surgery, the patient experienced no complications, and follow-up showed successful recovery with excellent functional scores and range of motion in the ankle.
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Trotter Procedure with Harmonic Scalpel : A Unique Approach to Mucoepidermoid Carcinoma of Tongue Base Revisited.

Indian J Otolaryngol Head Neck Surg

October 2024

Dean Medical, SRM Medical College Hospital and Research Centre, SRM University, Kattankulathur, Chengalpattu, Tamil Nadu India.

Mucoepidermoid carcinoma (MEC) is a malignant locally invasive tumour of salivary glands, presumed to arise from reserve cells of salivary gland ducts. It accounts approximately 35% of all malignancies of major and minor salivary glands [1]. MEC arising in minor salivary glands can be located in different areas such as palate, retromolar trigone, floor of mouth, buccal mucosa, lips and tongue.

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Assessing Binaural Auditory Processing in Native Tamil Speaking Children.

Indian J Otolaryngol Head Neck Surg

October 2024

Senior Pediatric Audiologist, Stamford, UK.

The objective of this study is to develop and validate the Binaural Fusion Test (BFT) in the Tamil language for children with learning disability. As many children with learning disability exhibit an auditory processing deficit there is a need for language specific assessment tool for these children. The BFT in Tamil comprises 100 words organized into four lists, with each list containing 25 words.

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Breast masses presenting as fungating growths usually represent advanced malignancy. One remarkable exception is a benign phyllodes tumour. These tumours of stromal origin often exhibit rapid growth, resulting in pressure necrosis at the summit of the tumor causing fungation.

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Aim And Objective: The purpose of the study is to compare the effects of rocuronium priming with the combined technique of magnesium pretreatment and rocuronium priming and to investigate whether this pretreatment could further accelerate the onset of neuromuscular blockade during intubation.

Materials And Methods:  A double-blinded randomized controlled trial (RCT) clinical study was done on patients at a tertiary care center for six months after obtaining approval from the institutional ethical committee. A total of 150 patients were randomly allocated as Group MP (infusion of 50 mg/kg of MgSo4 over 10 min was given 10 mins prior to premedication and dose of rocuronium 0.

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Two Interesting Cases of Thyroid Gland Tuberculosis.

Cureus

September 2024

Department of Radiodiagnosis, SRM Medical College Hospital and Research Centre, Sri Ramaswamy Memorial Institute of Science and Technology (SRMIST), Chengalpattu, IND.

Tuberculosis involving the thyroid gland is an exceptionally rare condition with varied clinical presentations, often leading to diagnostic challenges. We report two cases: a 9-year-old male with necrotic tuberculous cervical lymphadenopathy secondarily involving the thyroid gland, and a 40-year-old male with disseminated tuberculosis affecting multiple organ systems, including the thyroid gland. Both cases presented with swelling over the neck region and were evaluated using ultrasonography and contrast-enhanced computed tomography (CECT), which revealed characteristic imaging findings of thyroid involvement.

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Adolescence is a critical transition period between childhood and adulthood. They experience biological, emotional, and social changes and require constant affection, support, and supervision during this period. Adolescents often face stressors from various sources, which can exacerbate behavioral issues.

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Kocuria rosea Sepsis in an Immunocompromised Patient: A Case Report.

Cureus

September 2024

Department of Nephrology, SRM Medical College Hospital and Research Centre, Faculty of Medicine and Health Sciences, SRM Institute of Science and Technology, Chengalpattu, IND.

species, classified within the phylum , class , order  family , are Gram-positive coccoid bacteria. They bear morphological resemblance to and which often leads to misidentification and oversight as contaminants, given their presence as normal flora on human and animal skin and mucous membranes. Accurate identification of these organisms typically relies on automated systems such as MALDI-TOF-MS, Vitek-2 System, and 16S rRNA studies.

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Introduction Diabetic retinopathy (DR) is a microvascular ailment that can arise from the long-term effects of diabetes mellitus. It can potentially cause retinal damage that could endanger vision and cause blindness. The worsening of DR is mainly linked to poor glycemic control, uncontrolled hypertension, and dyslipidemia.

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