1,384 results match your criteria: "Sher-i-Kashmir Institute of Medical Sciences.[Affiliation]"

Introduction: Enhanced recovery after surgery (ERAS) is a patient-centerd, evidence-based approach to improve postoperative outcomes. The protocol involves multidisciplinary collaboration and standardisation of perioperative interventions. ERAS has shown positive results in reducing hospitalisation and complications.

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Introduction: Pedicle screw placement plays a crucial role in treating various cases such as fractures, scoliosis, degenerative spine issues, and kyphosis, reinforcing all three spinal columns simultaneously. While three-dimensional navigation-assisted pedicle screw placement is considered superior, the freehand technique relies on anatomical landmarks and tactile feedback, with observed low complication rates.

Materials And Methods: This was a prospective single-center study conducted over a period of 3 years.

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  • Type-D personality is linked to a higher risk of various cardiovascular diseases, including a 26% increased risk for coronary artery disease, demonstrating its negative impact on heart health.
  • The study aimed to explore the relationship between Type-D personality traits and left-ventricular adverse remodeling in patients who underwent percutaneous coronary intervention after a serious heart event (STEMI).
  • Out of 124 patients, 25% experienced left-ventricular adverse remodeling, with Type-D personality identified as a significant independent predictor alongside other factors like Killip Class and baseline Global Longitudinal Strain.
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Understanding the health culture of tribal community is important as health problems among tribal communities and their care is influenced by sociocultural factors, which will help in the implementation of health services. The conventional way of improving the access for the general populations may not suit the tribal populations owing to their distinct culture and owing to health systems factors as well. A stepwise process was followed for the development of a protocol to study to strengthen the implementation of National Programme for Prevention and Control of Non-Communicable Diseases.

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Prevalence, Phenotypes, and Comorbidities of Polycystic Ovary Syndrome Among Indian Women.

JAMA Netw Open

October 2024

Reproductive Biology and Maternal Health, Child Health, Indian Council of Medical Research, New Delhi, India.

Article Synopsis
  • This study aimed to estimate the nationwide prevalence of polycystic ovary syndrome (PCOS) in India and analyze the associated comorbidities among women aged 18 to 40 years.
  • The research involved a large cross-sectional survey of 9,993 women, identifying varying prevalence rates of PCOS based on different diagnostic criteria: 7.2% (NIH), 19.6% (Rotterdam), and 13.6% (AE-PCOS).
  • Results indicated younger average ages in women diagnosed with PCOS and highlighted the need for better-designed studies to understand the full spectrum of PCOS phenotypes and health implications in Indian women.
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  • Arboviruses like dengue, chikungunya, and Zika are emerging as significant global health threats, with this study focusing on their prevalence in Kashmir, North India, among patients with acute febrile illness.
  • A total of 812 blood samples were tested, revealing dengue in 12.93% of patients, chikungunya in 2.09%, and no cases of Zika; most affected individuals had traveled within India.
  • The study found that dengue virus-1 was the dominant serotype among positive cases, with common symptoms including fever, fatigue, and joint pain; it emphasizes the need for screening travelers showing symptoms as local populations appear less affected.
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  • Pediatric thyroid disorders are increasingly diagnosed, with subclinical hypothyroidism (SCH) being the most common, found in 39% of cases among children referred for evaluation.
  • The study involved 241 treatment-naïve children under 18, where data was collected on various thyroid-related metrics, and treatment decisions were made based on clinical judgment with a follow-up over a year.
  • Significant factors influencing treatment included age, gender, autoantibody positivity, and family history, indicating that autoimmunity and familial links play essential roles in managing SCH and highlight the need for ongoing surveillance for congenital hypothyroidism (CH).
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  • The study focuses on analyzing the outcomes of different molecular subtypes of breast cancer in a resource-limited setting in north India, specifically looking at data from 944 female patients treated between 2014-2018.
  • Findings reveal that HR+HER2- was the most common subtype and had the best overall survival rates, while HR-HER2- showed the poorest outcomes across various patient categories.
  • The conclusion emphasizes the urgent need for better access to personalized treatment options, especially for patients with triple-negative breast cancer, to improve long-term survival rates.
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  • * A study involving 50 patients with end-stage renal disease measured inflammatory markers (hs-CRP and IL-6), albumin levels, and body mass index before and three months after undergoing dialysis, with results indicating that hs-CRP levels were notably higher in the HD group compared to CAPD.
  • * The findings suggest that patients undergoing hemodialysis experience a greater inflammatory burden, as indicated by higher hs-CRP
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Objectives: To study the clinical and genotypic spectrum of patients with deletions (MODY 5) at a tertiary care hospital.

Methods: This study included four patients from the Department of Endocrinology at Sher-i-Kashmir Institute of Medical Sciences Srinagar with a strong clinical suspicion of MODY 5. Genetic analysis, including a monogenic gene panel comprising 78 genes associated with MODY and other similar forms of monogenic diabetes, was done.

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  • This study explored how individuals with complete heart block (CHB) may experience anterior pituitary hormone dysfunction, particularly hypopituitarism, after receiving a pacemaker.
  • The research included 30 participants and assessed various hormone levels over a follow-up period of about 12 months, discovering that nearly a third exhibited hormone deficiencies.
  • The findings suggest that a significant number of individuals with CHB may suffer from unrecognized hypopituitarism, which could lead to serious health implications.
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Background & objectives Genetic analysis of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) strains circulating in India during 2020-2022 was carried out to understand the evolution of potentially expanding and divergent clades. Methods SARS-CoV-2 sequences (n=612) randomly selected from among the sequences of samples collected through a nationwide network of Virus Research Diagnostic Laboratories during 2020 (n=1532) and Indian sequences available in Global Initiative on Sharing All Influenza Data during March 2020-March 2022 (n=53077), were analyzed using the phylo-geo haplotype network approach with reference to the Wuhan prototype sequence. Results On haplotype analysis, 420 haplotypes were revealed from 643 segregating sites among the sequences.

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  • - Glucocorticoid (GC) therapy can effectively treat serious inflammatory disorders but carries risks of side effects, requiring the lowest effective dose for the shortest duration to minimize these risks.
  • - Tapering GC therapy is crucial to avoid adrenal insufficiency by allowing the hypothalamic-pituitary-adrenal (HPA) axis to recover while monitoring for disease reactivation; higher doses can be tapered quickly, but once close to physiologic doses, tapering must slow down.
  • - Patients on GCs need to be aware of potential adrenal crisis during illnesses and should increase their doses accordingly while carrying a steroid alert card to inform healthcare providers.
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Introduction: To present the clinical data, investigative profile, management, and follow-up of patients with 46, XY gonadal dysgenesis with germ cell tumors from the endocrine unit of a tertiary care university hospital.

Materials And Methods: This retrospective study included 3 cases of 46, XY gonadal dysgenesis with germ cell tumors evaluated and managed at the Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, over a period of 13 years from (September 2008 to December 2021).

Results: Over a period of 13 years, we diagnosed and managed 7 patients with 46, XY gonadal dysgenesis.

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In this study, the role of inflammatory biomarkers and vitamin D in Type 2 diabetes mellitus (T2DM) and their correlation with diabetes related factors (HbA1c, FPG, and insulin) was analysed. In this study, Kashmiri patients with T2DM and healthy individuals were considered as cases (n = 100) and controls (n = 100) respectively. Blood samples from both groups were collected, inflammatory biomarkers (TNF-α, CRP), as well as serum vitamin D levels, were estimated by ELISA.

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  • The study aimed to establish normative data for the active range of motion (ROM) of finger joints in a healthy Indian population, as such data was previously unavailable.
  • Conducted across four geographical regions in India, certified goniometers were used for precise measurements, ensuring reliable data through a standardized methodology and pilot study.
  • Results showed the middle finger had the highest flexion at the metacarpophalangeal (MCP) joint, while the index finger had the greatest proximal interphalangeal (PIP) joint flexion, providing insight into finger joint functionality in the sampled population.
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  • The study aims to establish clinical normative data for ulna length in children aged 1 day to 18 years across India, measuring various factors including age, sex, BMI, and hand dominance.
  • A total of 1,300 healthy children were analyzed, showing gradual ulna lengthening as they age, with significant differences in males at certain ages and a notable increase in length among obese children.
  • The findings indicate that age, gender, and geographical location influenced ulna length, but factors like BMI and hand dominance were not significant after maturity, providing valuable data for pediatric healthcare.
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Background: is a one-of-a-kind health promotion intervention that focuses on chronic disease prevention behaviors through peer support and social support network development. The goal of the study was to see how effective was in a city setting in India.

Materials And Methods: From July 2018 to July 2019, we used a mixed-methods intervention research design including many sites.

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Candidaemia and Central Line-Associated Candidaemia in a Network of Indian ICUs: Impact of COVID-19 Pandemic.

Mycoses

September 2024

Division of Epidemiology and Communicable Diseases, Indian Council of Medical Research, Delhi, India.

Article Synopsis
  • The study investigates the prevalence and impact of candidaemia in 67 ICUs across India, assessing how the COVID-19 pandemic influenced its rates and mortality.* -
  • Data from 401,601 patient days revealed higher candidaemia rates in COVID-19 ICUs (2.52/1000 patient days) compared to non-COVID-19 ICUs (1.05/1000 patient days), with associated mortality significantly higher in COVID-19 cases (61% vs. 41%).* -
  • Analysis identified C. tropicalis as the most common isolated species (26.7%), while C. auris, which had a high mortality rate, accounted for 17.5% of isolates
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  • - The study assessed asthma control and COPD severity among patients in outpatient departments across India while also evaluating treatment adequacy and associated risk factors.
  • - Analyzed data from a survey involving 5,311 respiratory disease patients showed that many had poorly controlled asthma (7.4%) and severe COPD, with a significant portion not receiving any medication.
  • - Key risk factors for poorly controlled asthma included rain wetting and gastroesophageal reflux disease, highlighting a major treatment gap for these conditions.
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Purpose: To investigate determinants of new onset diabetes after COVID-19 (NODAC) and its recovery at 6 months.

Methods: This was an observational follow up study conducted from August, 2020 to July, 2023, recruiting patients with preexisting DM and COVID 19 patients with no history of DM. Multivariate regression analysis was used to determine the factors responsible for severity of COVID 19 infection in preexisting DM group.

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Fish Arrow Injuries to the Extremities: A Case Series.

Indian J Plast Surg

June 2024

Department of Plastic and Reconstructive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Article Synopsis
  • Fishing is a popular hobby among young people in mountainous regions, leading to common injuries from fishing equipment, especially among those with little training.
  • This article presents a series of cases involving fishing arrow injuries treated at the Sher-i-Kashmir Institute of Medical Sciences in India.
  • The injuries were primarily managed using a new technique that allows treatment under local anesthesia, along with guidelines to prevent additional injuries during arrow retrieval.
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Factors Associated with Hospital Length of Stay among VTE Cases: Insights from the i-RegVed Registry.

J Prim Care Community Health

August 2024

Indian Council of Medical Research, New Delhi, India.

Introduction: Venous thromboembolism (VTE) is a multifactorial condition and one of the leading causes of mortality and disability. The present study explores the factors associated with hospitalization duration among different types of venous thromboembolism diagnoses, such as deep vein thrombosis (DVT), pulmonary embolism (PE), and other forms of thrombosis.

Methods: The data included participants with VTE admitted to 13 hospitals within pan-India from June 2022 to December 2023 to the i-RegVed registry, where socio-demographic data, clinical history, and various factors associated with hospital length of stay (LOS) were included for analyses.

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