A Paradigm Shift in Renal Cell Carcinoma: Recognizing Hypoglycaemia as a Significant Paraneoplastic Syndrome.

Recurrent hypoglycaemia is a rare paraneoplastic syndrome associated with several cancers, including renal cell carcinoma (RCC). Here we present a curious case of a patient with type 2 diabetes mellitus (T2DM) who had numerous hospitalisations due to recurrent hypoglycaemia. A well-defined lesion at the lower pole of the right kidney and bilateral pyelonephritis were found during imaging investigations.

Supportive and Palliative Care Needs of the Older Adults with Stroke and Neurological Diseases: An Estimation using data from Longitudinal Ageing Study in India.

Objectives: The prevalence and burden of neurological diseases are high among the older age group. Stroke and other neurological diseases significantly impair functional capacity and lead to poor quality of life. This study aims to provide a national-level estimate for palliative and supportive care needs among older Indian adults with stroke and other neurological diseases.

Aging and cancer: Clinical role of tumor markers in the geriatric population (Review).

Aging, with the progressive deterioration and functional decline of several organ systems, is highly heterogeneous for both between and within individuals. Tumor markers are widely used in clinical practice as a screening test for individuals >50 years of age. More specifically, caring for elderly patients is a public health concern, given the incidence of cancer and its related mortality and morbidity.

Relation of Dietary Practices and Academic Achievement Among School-Going Children in Kattankulathur Block, Chengalpattu District, Tamil Nadu.

Background Dietary practices play a crucial role in the overall development of school-going children, potentially influencing their academic performance. Nutrition is a fundamental component of children's overall health and development, influencing both physical growth and cognitive functions. School-going children are particularly vulnerable to the effects of their diet, as it impacts their ability to concentrate, learn, and perform academically.

An Interesting Rare Case Report of Primary Amelanotic Melanoma With Distant Metastasis.

Anorectal malignant melanoma (ARMM) is a rare and highly aggressive type of melanoma that originates in the anorectal area. It represents a small fraction of all melanoma cases and is often associated with poor prognosis due to its late presentation and challenging treatment options. Rectal malignant melanoma typically presents with symptoms such as rectal bleeding, pain, and obstructive symptoms.

A label-free DNAzyme-based colorimetric sensor for the detection of Leptospira interrogans.

Leptospirosis is a neglected zoonosis caused by a pathogenic spirochete Leptospira. Diagnosis of leptospirosis in the early stage is difficult and can be easily confused with other infections. The existing detection methods are considered chronophagous and labor-intensive.

Effectiveness of Nurse-Led Stroke Rehabilitation on Awareness, Activities of Daily Living and Coping in Stroke Patients at a Tertiary Care Hospital in India.

Introduction Stroke is a major global cause of mortality and disability, with many survivors lacking awareness. Nurses play a pivotal role in the early identification and management of symptoms with regard to stroke. The present study aimed to assess the effectiveness of stroke rehabilitation on awareness, activity of daily living (ADL) and coping among stroke patients.

Assessment of Postoperative Complications Between Interrupted Modified Smead-Jones Rectus Closure and Conventional Rectus Closure in Midline Laparotomy Wounds: A Comparative Study.

Introduction The abdomen comprises several layers that enhance its strength and flexibility, extending from the superficial to the deep layers of the anterior abdominal wall. Among these, the rectus sheath serves as a fibromuscular compartment essential for structural integrity, providing mechanical support and safeguarding the underlying tissues and organs. This study evaluates two midline closure techniques employed after midline laparotomy surgery to determine which technique offers superior strength and mechanical support.

Immunoglobulin A Vasculitis Nephritis in an Adult.

Immunoglobulin A vasculitis (IgAV; initially known as Henoch-Schönlein purpura) is a form of vasculitis involving the small blood vessels of the gastrointestinal tract, skin, joints, and kidney, presenting as a multisystem disorder. A 21-year-old gentleman presented with joint pain, skin rash, abdominal pain, and proteinuria. Biopsies performed from the skin and kidney were both consistent with IgA deposition.

Non-invasive Assessment of Liver Fibrosis Using Shear Wave Elastography in Patients With Type 2 Diabetes Mellitus Having Non-alcoholic Fatty Liver Disease.

Background  Type 2 diabetes mellitus (T2DM) and non-alcoholic fatty liver disease (NAFLD) frequently coexist due to overlapping risk factors such as metabolic syndrome and obesity. T2DM exacerbates the progression of NAFLD, increasing the risk of cirrhosis and hepatocellular carcinoma. Thus, early detection of liver fibrosis is crucial to prevent severe liver disease.

Impact of Multistrain Probiotic Supplementation on Glycemic Control in Type 2 Diabetes Mellitus-Randomized Controlled Trial.

Hyperglycemia, a key characteristic of type 2 diabetes mellitus (T2DM), highlights the need for effective management strategies. This study aims to analyze the impact of multistrain probiotic supplementation on glycemic control in T2DM patients. During a 24-week randomized controlled trial involving 130 participants, subjects were assigned to either a probiotic group or a placebo group.

Examining the hidden dangers: Understanding how microplastics affect pregnancy.

Microplastics, a fast-growing environmental concern, play a crucial role in developing the major pollution crisis that affects nearly the entire surface of the planet. Microplastics are tiny particles, measuring less than 5 mm which are ubiquitous, in occurrence, and found in a wide array of products including plastic packaging, synthetic textiles, seafood, fruits, vegetables, salt, sugar, bottled water, and even personal care products. The presence of microplastics in our environment and the potential adverse health effects they may cause have made them a significant perturbation in recent years.

Atypical Manifestation of Enterobius vermicularis Infestation in Adults: A Report of a Rare Case.

, commonly known as pinworm, is a parasitic nematode primarily affecting children, with adult infestations being rare. The infection is typically transmitted via the fecal-oral route and is characterized by intense perianal itching, particularly at night. We present a case of a 39-year-old male with an unusual case of infestation.

A Rare Case of Malignant Melanoma of the Glans Penis in a Young Male Treated with an Organ-Preserving Surgical Procedure.

Penile melanoma is a rare and highly invasive cancer that is generally diagnosed in the sixth to seventh decades of life. We report a rare case of primary malignant melanoma of the glans penis in a 38-year-old man who presented with a proliferative lesion over the glans with discoloration for six months. The clinical and metastatic workups were unremarkable.

Perceived Stress Among Private School Teachers in Chengalpattu District, Tamil Nadu, India: A Cross-Sectional Study.

Background Teachers are the cornerstone of any civilized society, preserving knowledge, wisdom, and ideals. Along with job-related stress, teachers face a variety of challenging circumstances in the classroom. This includes thoughts concerning a lack of professional appreciation, challenges maintaining classroom discipline, a lack of peer support, and extra duties like surveys and government mandates.

Neonatal Encephalopathy due to Glutaminase Deficiency in a Neonate.

Identifying neurometabolic disorders that lead to neonatal encephalopathy is difficult, and access to exome sequencing is a significant advantage in developing countries. We present a case of neonatal encephalopathy characterized by refractory seizures and significant apnea resulting from glutaminase deficiency, along with elevated levels of glutamine and glycine in the cerebrospinal fluid. Although the condition was fatal, it was possible to offer genetic counseling and recommendations for future pregnancies following exome sequencing.

Analysis of Immunohistochemical Expression of Bcl-2 in Cases of Psoriasis and Psoriasiform Dermatitis.

Introduction Psoriasis involves rapid cell growth and abnormal differentiation of skin cells. Dysregulation of apoptosis has been proposed in the pathogenesis of psoriasis. The role of Bcl-2 as an anti-apoptotic protein in pathogenesis has not been studied in detail in these cases.

Unraveling Facial Nerve Palsy: A Case Series Highlighting Diagnostic and Therapeutic Challenges.

Facial nerve palsy (FNP) may arise from multiple etiological reasons, including anatomical anomalies, circulatory complications, and infectious agents. This case series underscores the importance of a comprehensive diagnostic approach to identify the precise etiology, including structural abnormalities, vascular anomalies, or infectious illnesses. Here, we present three distinct occurrences of FNP, emphasizing the varied diagnostic difficulties and therapeutic strategies.

Larger Airway Functions in Poultry and Dairy Confinement Workers: A Cross-Sectional Study.

Background: The peak expiratory flow (PEF) test is a crucial tool for assessing larger airway functions, particularly in individuals exposed to occupational hazards. This study aims to compare PEF values between animal workers (poultry and dairy farm workers) who are regularly exposed to animal allergens and other respiratory irritants and normal workers who do not have such exposures.

Methods: A cohort of animal workers from poultry and dairy farms were evaluated alongside a control group of normal workers without known respiratory hazards.

Tessier 7 Cleft: Clinical Presentation and Surgical Correction in a Case Report.

Tessier 7 cleft, or transverse facial cleft, is a rare congenital anomaly involving lateral facial tissues, often resulting from embryonic disruptions in the first and second branchial arches. It presents varying severities from macrostomia to complete clefts affecting soft tissue and skeletal structures. Surgical management is challenging, requiring a multidisciplinary approach for functional and aesthetic reconstruction.