3,628 results match your criteria: "Safdarjung Hospital & VMMC[Affiliation]"

Article Synopsis
  • * A study analyzed 203 cytological specimens, finding that a majority were benign, while malignancy risk varied significantly across different categories, with SFM showing an 80% ROM.
  • * The study concluded that the WHO classification improves the accuracy of diagnoses and helps in managing clinical cases, but suggests that further refinements are needed for wider applications.
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  • - Hypertensive disorders of pregnancy, particularly pre-eclampsia (PE), are major health risks for mothers and babies, with varying prevalence in places like India and significant long-term health implications for women.
  • - This clinical trial explores the effectiveness and safety of two aspirin doses (75 mg vs 150 mg) in preventing preterm pre-eclampsia in high-risk women, enrolling 370 participants who will take the medication until 37 weeks of pregnancy.
  • - The findings aim to optimize aspirin use for prevention, contribute to evidence-based guidelines, and assess both maternal and fetal health outcomes, potentially improving clinical practices surrounding pregnancy care.
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  • Juvenile myoclonic epilepsy (JME) is a genetic generalized epilepsy syndrome that is generally well-controlled, but long-term outcomes can vary due to related personality traits and psychiatric disorders; quality of life (QoL) information in adolescents with JME is limited.
  • This study involved 50 participants aged over 11 years, who were assessed using specific quality of life questionnaires (QOLIE-AD-48 for adolescents and QOLIE-31-P for adults) and screened for psychiatric disorders, to understand the impact on their overall quality of life.
  • Results showed that while the overall QoL scores were fair for both adults (62.29) and adolescents (69.71), specific areas such
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Castleman disease, a rare lymphoproliferative disorder characterized by non-neoplastic lymph node enlargement, typically presents as nodal involvement, while extranodal manifestations are uncommon. We present a unique case of unicentric Castleman disease localized to the gluteal region in a 27-year-old female. Initially mistaken for a neurogenic or vascular tumour, fine needle aspiration cytology (FNAC) revealed a polymorphous population of lymphoid cells with numerous traversing capillaries suggestive of reactive hyperplasia, possibly Castleman disease, which was later confirmed by histopathology.

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  • A study was conducted to compare the effectiveness of two different nerve blocks—suprainguinal fascia iliaca compartment (SFIC) block and pericapsular nerve group (PENG) block—for managing pain and cognitive function after hip and proximal femur surgery.
  • The research involved 66 patients, who were divided into two groups to receive one of the blocks post-surgery, and various metrics such as pain levels, muscle strength, and cognitive function were assessed.
  • Results showed that the PENG block provided better pain relief and reduced opioid use compared to the SFIC block, while both groups displayed similar levels of cognitive impairment.
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  • The study aimed to examine how oral folic acid, iron tablets, and tea consumption affect anemia levels in pregnant women.
  • Conducted on 430 women in their second and third trimesters in Delhi, the study found a high anemia prevalence of nearly 49%, with varying degrees of severity.
  • Results showed that women lacking folic acid and iron supplementation, as well as those consuming excessive tea, were significantly more likely to experience anemia during pregnancy.
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Gluconephrotic Syndrome: A Comprehensive Review.

J Assoc Physicians India

October 2024

Senior Consultant, Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.

This article provides an overview of the diabetic kidney disease paradigm, explaining important aspects such as prognostic markers, clinical assessments, and therapeutic options. The importance of the term gluconephrotic syndrome (GlucoNS) is emphasized, highlighting its significant influence on clinical evaluations, research procedures, screening techniques, and patient care. This term encapsulates nephrotic syndrome (NS) within the diabetic milieu, shedding light on the intricate relationship between renal complications and diabetes.

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  • The study aimed to assess thyroid nodules using sonoelastography and MRI, involving 28 patients with 40 nodules while excluding certain conditions and past surgeries.
  • Results indicated a strong correlation between Rago scores and malignant nodules, with a specific mean strain ratio cutoff predicting 100% specificity for malignancy.
  • The conclusion highlighted that sonoelastography is an effective noninvasive technique for predicting outcomes, whereas MRI serves better as a supplementary problem-solving tool rather than a primary imaging method.
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Sarcomas, a diverse group of malignant tumors originating from connective tissues, present substantial diagnostic challenges due to their histological heterogeneity. Traditional diagnostic methods include histomorphology along with immunohistochemistry is necessary for primary evaluation. Fluorescence in situ hybridization (FISH) is a supplementary tool that helps with additional findings.

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Background: Various studies have observed an association between interleukin-6 (IL-6), serum ferritin, d-dimer, and in-hospital mortality in COVID-19 patients. However, multivariate regression analysis was not done in the majority of the studies, Also, the role of interleukin-6 (IL-6), serum ferritin, and d-dimer in hospitalized COVID-19 patients was not adequately studied and reported from our region.

Method: It was a retrospective cohort study in which the serum IL-6, serum ferritin, and d-dimer of 305 hospitalized COVID-19 patients were analyzed, and their association with mortality was determined.

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  • Post-kala-azar dermal leishmaniasis (PKDL) is a skin condition affecting some individuals who have recovered from visceral leishmaniasis (VL), and it plays a role in the spread of VL.
  • The rK39 rapid test is not effective for diagnosing PKDL due to lingering antileishmanial antibodies from past VL infections.
  • The CL Detect™ Rapid Test showed 73.3% sensitivity and 100% specificity, making it a valuable tool for screening and monitoring PKDL in regions where the disease is common.
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  • The study investigated how COVID-19 disruptions affected neuroscience research projects and young researchers in India through an online survey targeting medical trainees, post-docs, PhD students, and early career faculty.
  • A total of 504 valid responses revealed that over 83% of participants experienced negative impacts on their research, with one-third noting delays and many adapting their methodologies due to the pandemic.
  • The findings highlighted significant challenges, particularly for those involved in prospective studies, emphasizing the need for focused support for neuroscience research in the post-pandemic landscape.
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  • This study investigates feto-maternal outcomes for women with preterm prelabor rupture of membranes (PTPROM), comparing outcomes of those managed expectantly until 37 weeks versus those delivered at 34 weeks.
  • It involved 262 women and tracked various health markers to evaluate the effects of delayed delivery and maternal inflammation on newborn outcomes.
  • Results showed comparable rates of chorioamnionitis, neonatal sepsis, and early neonatal death across both groups, suggesting that management strategies for PTPROM may not significantly alter these outcomes.
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Chronic Osteomyelitis Following Foreign Body Entrapment in Pediatric Mandible-a Case Reprt.

Indian J Otolaryngol Head Neck Surg

October 2024

Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung hospital, New Delhi, India.

Article Synopsis
  • - Chronic osteomyelitis in kids, often caused by foreign objects like nails in the mandible, can lead to serious issues such as pus discharge and infection.
  • - A case study highlighted a 12-year-old boy who had an iron nail embedded near a decayed tooth, which was found using radiographic imaging.
  • - Effective treatment and good healing were achieved, underscoring the importance of preventive measures, including parent education and teamwork among healthcare professionals.
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Tuberculosis is a common occurrence in developing countries. Drug resistance, co-morbidities, and limited availability of new rapid tests such as the GeneXpert/MTB Rif assay make diagnosis and treatment of extrapulmonary tuberculosis burdensome. A cross-sectional study was carried out at Employees' State Insurance Corporation Medical College and Hospital, Faridabad, Haryana of patients treated for tubercular cervical lymphadenopathy from December 2021 to March 2023 in the department of ENT.

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The Role of Mucociliary Clearance Function of Eustachian Tube as an Outcome Predictor for Type 1 Tympanoplasty.

Indian J Otolaryngol Head Neck Surg

October 2024

Department of Otorhinolaryngology and Head &Neck Surgery, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.

Objectives: To evaluate the association between mucociliary function of the Eustachian tube using the Saccharin test preoperatively and its correlation with dynamic slow-motion video endoscopy on the outcome of Type-I Tympanoplasty in patients with inactive mucosal chronic otitis media.

Methodology: Eighty patients diagnosed with inactive mucosal chronic otitis media who underwent Type-I Tympanoplasty were included in the study. Preoperative assessment of Eustachian tube function was conducted using the Saccharin test.

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Persistent left superior vena cava (PLSVC) is a relatively rare anatomical anomaly, with a higher prevalence in those with congenital heart defects. While typically asymptomatic, its presence can complicate certain medical procedures, particularly cardiac interventions, such as the implantation of cardiac resynchronization therapy (CRT) devices, due to acute angulation. In this report, we discuss the challenges posed by the unanticipated presence of PLSVC during CRT device implantation and describe the technique used for lead placement using Judkins Right catheter for support, placing coronary wire, and later placing the left ventricle (LV) lead with the help of buddy wire technique, resulting in successful insertion of all three CRT leads despite the anatomical challenges.

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  • Salivary gland tumors (SGTs) are challenging to diagnose due to their many types and differing behaviors, making clinical management complex.* -
  • A study analyzed 150 SGT cases from 2017-2022, finding that 70% were benign and 30% malignant, with pleomorphic adenoma and adenoid cystic carcinoma being the most common subtypes.* -
  • Surgical resection was the primary treatment, leading to varied recurrence rates; the study suggests that further research is necessary to enhance treatment strategies and patient outcomes.*
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Clinical breast examination: A screening tool for lower- and middle-income countries.

Asia Pac J Clin Oncol

December 2024

Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.

Breast cancer (BC) remains a global health challenge, devastatingly impacting women's lives. Low-and-middle-income countries (LMIC), such as India, experience a concerning upward trend in BC incidence, necessitating the implementation of cost-effective screening methods. While mammography, ultrasonography, and magnetic resonance imaging are preferred screening modalities in resource-rich settings, limited resources in LMICs make clinical breast examination (CBE) the method of choice.

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The accurate diagnosis and identification of species are crucial for the therapeutic selection and effective treatment of leishmaniasis. This study aims to develop and evaluate the use of high-resolution melting curve analysis (HRM)-PCR for species identification causing visceral leishmaniasis (VL), post-kala-azar dermal leishmaniasis (PKDL) and cutaneous leishmaniasis (CL) in the Indian subcontinent. Two multi-copy targets (ITS-1 and 7SL-RNA genes) were selected, and an HRM-PCR assay was established using , , and standard strain DNA.

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Immunohistochemistry (IHC) has emerged as a crucial tool in diagnosing and managing ovarian cancer, offering invaluable insights into tumor biology and guiding therapeutic decisions. The intricate histopathological landscape of ovarian cancer presents challenges in accurate diagnosis and classification. IHC offers a complementary approach, aiding in the characterization of tumor subtypes, prognostication, and prediction of treatment response.

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