269 results match your criteria: "Saifee Hospital[Affiliation]"

Colours of India is an annual cultural phenomenon that transcends the boundaries of professional conferences, uniting endocrinologists through the universal language of music and dance. Since its inception in 2016, this vibrant event has brought together teams from across India and other participating countries, showcasing diverse dance forms while fostering friendships, promoting wellness, and celebrating cultural diversity within the medical community.

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Background: Non-radical management is an option for good responders to neoadjuvant chemoradiotherapy in mid-to-low rectal cancer. This study aimed to analyze risk factors for lymph node metastasis in patients with ypT2 rectal cancer, exploring the possibility of non-radical management.

Methods: We included patients with ypT2 rectal cancer who received neoadjuvant chemoradiotherapy followed by total mesorectal excision between January 2004 and December 2022.

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Introduction: A slower adoption rate of fixed dose combinations (FDC) in diabetes management is partly due to insufficient data. This study evaluates the safety and efficacy of an FDC of dapagliflozin + sitagliptin + metformin hydrochloride extended release (XR), compared to a dual FDC of sitagliptin + metformin hydrochloride XR among patients with type 2 diabetes mellitus (T2DM) with poor glycemic control when treated with metformin monotherapy.

Methods: A total of 274 patients with T2DM were randomized (1:1) to either arm X, receiving FDC of dapagliflozin (10 mg) + sitagliptin (100 mg) + metformin hydrochloride XR (1000 mg) (Dapa + Sita + Met) tablets, or arm Y, receiving sitagliptin phosphate (100 mg) + metformin hydrochloride XR (1000 mg) (Sita + Met) tablets, and treated for 16 weeks.

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Peripartum mental health is an underdiagnosed and undertreated entity; obstetricians are in a dilemma when patients present with signs of any mental disturbance. The peripartum period is fraught with triggers that can cause, or exacerbate, mental illness, and obstetricians need to be aware of diagnoses and treatment of blues, depression, psychosis and other problems. Key strategies that can be adopted are discussed in this review, along with the scenario in India.

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Article Synopsis
  • One anastomosis gastric bypass (OAGB) is a recognized method in metabolic and bariatric surgery, making up 7.6% of global procedures, but still has several ongoing controversies despite its approval as a standalone procedure.
  • A modified Delphi consensus was conducted with 86 experts from 25 countries, addressing 29 key questions about patient selection and surgical standards, achieving agreement on 22 items, including patient suitability and post-operative care protocols.
  • Important findings include that OAGB is suitable for adolescents over 15 and those with class 1 obesity with uncontrolled type 2 diabetes, while highlighting the need for tailored surgical practices and continued research for better patient outcomes.
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Muraqabah: Meaningful Adjuvant Therapy for Metabolic Health.

J Pak Med Assoc

November 2024

Department of Endocrinology, Bharti Hospital, Karnal, India University Center for Research & Development, Chandigarh University, Mohali, India.

Muraqabah is an Islamic form of mindful meditation, prayerful meditation or religious meditation. This is a means of connecting to God, while being mindful of his presence. It also implies seclusion.

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Managing pruritic conditions is essential due to their significant impact on patients' quality of life. Chronic urticaria (CU), characterized by persistent itching and hives, severely affects daily activities and sleep. CU includes chronic inducible urticaria and chronic spontaneous urticaria, with the latter lacking identifiable triggers, making treatment especially challenging.

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Dry eye disease (DED) is an inadequately addressed condition in the diabetes management process and can significantly impact the quality of life and self-care. Therefore, it was imperative to review DED in the diabetic population. The aim of this article was to obtain insights into the correlation between dry eye and diabetes, with a focus on data published in the Indian population.

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Article Synopsis
  • - The study aimed to assess whether using articulated surgical instruments instead of conventional ones would enhance the proficiency of colorectal laparoscopic surgeries.
  • - Involving 70 patients, the research found that while overall outcomes were similar, the articulated instruments improved depth perception and tissue handling, reduced surgery time, and minimized blood loss.
  • - Results indicated that surgeons had a steeper learning curve and improved performance with articulated instruments compared to conventional tools, suggesting potential advantages that require further investigation.
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Background: The use of micrografts (MCGs) containing human follicle mesenchymal stem cells (HF-MSCs) is a hair loss (HL) treatment that needs to be standardized as seems to have promising effects on hair regrowth (HR-G) also thanks to the presence of extracellular vesicles (EVs).

Objectives: The study aims to report both the in vivo results, obtained in patients affected by androgenic alopecia (AGA) treated using MCGs, and in vitro analysis characterizing the EVs.

Methods: A multicentric, retrospective, observational, evaluator-blinded study was conducted.

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Background: Metabolic surgery is recognized for its effectiveness in weight loss and improving outcomes for individuals with type 2 diabetes mellitus (T2DM). However, its impact on renal function, especially in multi-ethnic Asian populations, remains underexplored. This study investigates mid- and long-term renal outcomes following metabolic surgery in Asian patients with T2DM.

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Indian Experience with Vericiguat: A Review Based upon Case Series.

J Assoc Physicians India

October 2024

Department of Cardiology, Yashoda Hospital, Hyderabad, Telangana, India.

Heart failure (HF) is a condition that can result in repeated hospitalizations every year and can result in worsening HF (WHF). Although current pharmacological treatment for HF is fairly effective, there is a need to lower the residual risk of cardiovascular events and hospitalizations. Vericiguat, a soluble guanylate cyclase (sGC) stimulator, a new entrant, seems to present a promising therapeutic option for HF with signs of worsening, and early initiation of this therapy may be beneficial in certain patient profiles.

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Purpose: This multicenter cross-sectional clinical study aimed to evaluate the membrane perforation rate during transcrestal sinus floor elevation (TSFE) using osseodensification (OD) burs and assess risk factors associated with the procedure.

Materials And Methods: This study was conducted in six centers, following ethical standards and approved by local committees. It included patients over 18 years old missing maxillary posterior teeth with crestal residual bone height (RBH) ≥2 and ≤6 mm.

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Background: Lumbar epidural blood patch (EBP) is not successful in all cases of cerebrospinal fluid (CSF) leak, particularly in the cervicothoracic region. The present study is a retrospective analysis of a cohort of patients who had undergone computed tomography (CT)-guided cervical EBP for spontaneous intracranial hypotension (SIH) due to CSF leak in the cervical region.

Methods: We retrospectively collected data from March 2009 to 2020.

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This article offers a systematic literature review (SLR) on the use of the MiniMed 780G automated insulin delivery system (MM780G) in people with type 1 diabetes (PwT1D) during Ramadan intermittent fasting. It also presents consensus recommendations on the use of MM780G during the Ramadan period. The SLR was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology.

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India has a high prevalence of type 2 diabetes mellitus (T2DM) with unique clinical characteristics compared to other populations. Despite advancements in diabetes therapy, a significant number of patients in India still experience poor glycemic control and complications. Dipeptidyl peptidase-4 (DPP-4) inhibitors continue to be an important component of T2DM treatment due to their favorable efficacy and tolerability profile.

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Background: Large and complex defects requiring reconstruction are challenging for orthopaedic surgeons. The use of human acellular dermal (HAD) matrices to augment large soft tissue defects such as those seen in massive rotator cuff tears, knee extensor mechanism failures and neglected Tendo-Achilles tears has proven to be a valuable tool in surgeons reconstructive armamentarium. Different methods for allograft decellularization and preservation alter the native properties of the scaffold.

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Purpose: This study aimed to evaluate the effect of prophylactic abdominal drainage (AD) in laparoscopic hemicolectomy, focusing on assessing postoperative pain outcomes.

Methods: Patients were categorized into two groups: those with and without AD (AD group vs. no-AD group).

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An Indian Expert Group Review of Acanthosis Nigricans with Recommendations for Early Detection and Timely Management.

J Assoc Physicians India

June 2024

Consultant Obstetrician and Gynaecologist, President PCOS Society of India, Department of Gynaecology and Obstetrics, Breach Candy Hospital Trust, Jaslok Hospital, Mumbai, Maharashtra, India.

Article Synopsis
  • - Acanthosis nigricans (AN) is a skin condition that signals various systemic issues like insulin resistance, prediabetes, and diabetes, particularly in obese individuals, and is notably observed on the neck.
  • - In India, rising rates of obesity and insulin resistance highlight the importance of AN for early detection of related health problems; however, there are currently no standardized guidelines for its management.
  • - A multispecialty Expert Working Group in India is reviewing literature on AN to develop guidelines for clinicians, integrating its use as a cost-effective screening tool to improve early diagnosis and patient outcomes.
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Management of type 2 diabetes mellitus (T2DM) largely relies on medication adherence of individuals with diabetes to achieve optimal glycemic control. The economic burden of diabetes could impede adherence, leading to a reduction in treatment efficacy and increased risk of complications. Furthermore, monotherapy in diabetes is losing traction due to its ineffectiveness in achieving early and sustained optimal glycemic control in a significant proportion of the population.

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Background: Sodium-glucose cotransporter-2 inhibitors (SGLT2i) have been used for almost a decade and have proven to be effective not only in managing Type 2 diabetes (T2D), but their cardio and renal protective features make them very useful in managing patients with risk of multiple comorbidities. This systematic review was undertaken by the authors because there is no evidence currently available in India that has studied the suitability of SGLT2i as a first-line agent in patients newly diagnosed with T2D in India.

Materials And Methods: First, literature was searched to identify features that are considered important when deciding on a first-line agent for managing T2D.

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Article Synopsis
  • - The study aimed to analyze the usage patterns of proton-pump inhibitors (PPIs) in prescriptions and to promote evidence-based recommendations for incorporating probiotics alongside PPIs for various gastrointestinal conditions.
  • - A survey of 1,007 healthcare professionals revealed that over 43% believed 10-30% of patients were on long-term PPI therapy, with most often prescribing PPIs for GERD-related gastritis and peptic ulcers; 91% noted that long-term PPI use disrupts gut flora.
  • - The findings highlighted a strong consensus among healthcare professionals (85%) on the benefits of prescribing probiotics to prevent gastrointestinal issues linked to PPI use, emphasizing a trend towards co-prescription to enhance patient health.
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Objective: The TORPEDO (CTRI/2018/12/016789) is the single-arm, prospective, interventional study evaluating the role of a total parietal peritonectomy (TPP) in patients undergoing interval cytoreductive surgery (iCRS). In this manuscript, we report the perioperative outcomes and platinum resistant recurrence (PRR) in 218 patients enrolled in the study.

Methods: A TPP was performed in all patients undergoing iCRS irrespective of the residual disease extent.

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Background and objective Cardiovascular diseases (CVDs) constitute a significant global health challenge, causing millions of deaths annually and straining healthcare systems worldwide. This study aimed to investigate and elucidate gender-specific factors, risks, and therapeutic approaches related to cardiovascular health in women within the context of contemporary medicine. Methodology We conducted a prospective observational study spanning one year (November 2022 to October 2023) at the Peshawar Medical Complex Hospital, to meticulously explore the field of women's cardiovascular health.

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Hajj is an obligatory duty for all healthy adult Muslims once in the lifetime subjected to the ability. Considering the 10.5 % global prevalence of diabetes coupled with the numbers of Muslims performing the Hajj, ∼ 1.

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