2,413 results match your criteria: "Speciality Hospital[Affiliation]"

Article Synopsis
  • The study investigates dietary intake among Indian patients with type 2 diabetes who underwent bariatric surgeries (laparoscopic sleeve gastrectomy and duodeno-jejunal bypass) due to rising obesity and diabetes rates in India.
  • Conducted with 64 patients over a 12-month period, the research utilized a 24-hour dietary recall method to collect data pre- and post-surgery, highlighting significant changes in dietary habits.
  • Results showed both surgical groups experienced notable weight loss and improved blood sugar levels, particularly the DJB-SG group, with a considerable reduction in calorie-dense foods and essential nutrients such as iron and vitamins post-surgery.
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  • Osteonecrosis affects the femoral head, leading to bone cell death, and early treatment using bone marrow-derived stem cells has shown positive results in stages I and II.
  • In a study involving 32 hips, patients received core decompression and bone marrow concentrate injections, monitored through various assessments to evaluate outcomes.
  • Results indicated significant improvements in pain relief and stability, with no complications reported, supporting the use of this minimally invasive technique for early-stage osteonecrosis.
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Adverse cardiovascular (CV) events have declined in Western countries due at least in part to aggressive risk factor control, including dyslipidemia management. The American and European (Western) dyslipidemia treatment guidelines have contributed significantly to the reduction in atherosclerotic cardiovascular disease (ASCVD) incidence in the respective populations. However, their direct extrapolation to Indian patients does not seem appropriate for the reasons described below.

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Introduction: Stapling-assisted closure of pharyngeal mucosa during total laryngectomy was described in 1973.Few authors have demonstrated that this technique provides a faster and more reliable pharyngeal closure with ashorter operative period. However, the simultaneous placement of tracheoesophageal prostheses is quitechallenging and affects the patient's speech rehabilitation.

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  • New diagnostic criteria have classified small-for-size syndrome (SFSS) after living donor liver transplantation into three severity groups, and this study focuses on grade A SFSS and its mortality risk.
  • Data from 406 patients were analyzed, categorizing them into up-trend, down-trend, and ascites groups based on their bilirubin levels and ascites presence after surgery.
  • While survival rates were similar for SFSS and non-SFSS patients, those in the up-trend group had significantly higher 90-day mortality and should receive aggressive intervention if they have additional risk factors.
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Role of Peripheral Parenteral Nutrition Composition on Clinical Outcomes in Patients Undergoing Gastrectomy or Colectomy: A Phase III Indian Clinical Trial.

Indian J Crit Care Med

September 2024

Department of Medical Affairs, Otsuka Pharmaceutical India Pvt. Ltd., Ahmedabad, Gujarat, India.

Article Synopsis
  • The study compares two parenteral nutrition solutions, BFLUID and NUTRIFLEX PERI, to assess their efficacy and safety for patients after abdominal surgeries like gastrectomy and colectomy.
  • It involved a multi-center clinical trial with 150 patients, focusing on hospital stay duration, ICU stay, and various adverse effects.
  • Results showed no significant differences between the two groups in terms of hospital stay, adverse events, or infection rates, confirming that BFLUID is a safe alternative to NUTRIFLEX PERI for post-surgery nutrition.
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  • Leprosy continues to pose significant health challenges, particularly in diagnosing and treating patients, which can lead to preventable physical deformities and disabilities; this study investigates the barriers to accessing reconstructive surgeries for these patients, considering both patient and healthcare provider perspectives.
  • Conducted through focus groups and interviews at a leprosy rehabilitation center in Maharashtra in early 2024, the study gathered qualitative data on patients' experiences post-surgery and insights from a surgeon, focusing on obstacles to treatment and patient outcomes.
  • Findings reveal that family support is crucial for patients and the surgery notably improves their functionality and mental health; however, issues like stigmatization and financial constraints hinder access, while suggestions for better treatment include improved infrastructure and increased funding
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Mirizzi syndrome, although rare, is a potential complication of long-standing gallstone disease, particularly cholecystolithiasis. Due to the nonspecific nature of its symptoms, this condition often remains undiagnosed prior to surgery in most cases. While minimally invasive approaches are generally safe in expert hands, they can be challenging and entail the risk of bile duct injuries, often necessitating conversion to bail-out procedures.

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Phytobezoars are solid masses of indigestible plant material and are a common type of gastrointestinal bezoar, with varying incidences globally. These bezoars typically form from the ingestion of high-fiber fruits and vegetables and are associated with factors such as decreased gastric acid production and delayed gastric emptying. We present a case of a 35-year-old healthy man with recurrent upper abdominal pain, nausea, a rolling ball sensation in the abdominal region, and a history of consuming unripe persimmons.

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Background: Ultrathin-strut stents are considered the future of percutaneous coronary intervention for treating coronary artery disease (CAD). These drug-eluting stents with biodegradable-polymer technology have the potential to improve clinical outcomes in CAD patients.

Aims: This study aimed to evaluate the safety and performance of newer-generation ultrathin-strut (50 µm) Evermine50 everolimus-eluting stents (EES) in patients with single or multiple long lesions.

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Internal root resorption (IRR) commonly occurs as a single oval-shaped defect radiographically; however, variation like bilocular IRR defect is rarely reported in the literature. This case report presents a 28-year-old male patient who reported with pain of dull nature, in his front upper tooth for the past 1 week. He reported with a history of trauma 8 years back.

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Unilateral Sweating: A Case Study of Localized Unilateral Hyperhidrosis.

J Pharm Bioallied Sci

July 2024

Nanavati Max Super Speciality Hospital, LIC Colony, Suresh Colony, Vile Parle West, Mumbai, Maharashtra, India.

Article Synopsis
  • Localized unilateral hyperhidrosis (LUH) is a rare condition characterized by excessive sweating in one specific area, typically without known causes.
  • A case study focuses on a 32-year-old man who experiences sweating on one side of his body during physical activity.
  • Extensive medical tests confirmed that he doesn't have any serious underlying health issues, contributing valuable information to the few documented instances of LUH in otherwise healthy people.
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Advancing the chemotherapy of tuberculous meningitis: a consensus view.

Lancet Infect Dis

January 2025

Institute of Infectious Disease and Molecular Medicine and Department of Medicine, University of Cape Town, Cape Town, South Africa; The Francis Crick Institute, London, UK; Department of Infectious Diseases, Imperial College London, London, UK. Electronic address:

Article Synopsis
  • Tuberculous meningitis is a serious disease that can cause death or long-term problems for about half of the people it affects.
  • Current treatment methods are based on how we treat lung tuberculosis, but they don't work as well for the brain.
  • Researchers are calling for new global trials with better drugs to improve treatment and help patients with this dangerous infection.
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Deciphering the iron enigma: Navigating the complexities of iron metabolism in critical illness.

World J Clin Cases

September 2024

Department of Critical Care Medicine, Max Super Speciality Hospital, New Delhi 110017, India.

Iron is a double-edged sword! Despite being essential for numerous physiological processes of the body, a dysregulated iron metabolism can result in tissue damage, exaggerated inflammatory response, and increased susceptibility to infection with certain pathogens that thrive in iron-rich environment. During sepsis, there is an alteration of iron metabolism, leading to increased transport and uptake into cells. This increase in labile iron may cause oxidative damage and cellular injury (ferroptosis) which progresses as the disease worsens.

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  • Renal primitive neuroectodermal tumor (PNET) is a rare and aggressive type of cancer that typically affects bones or soft tissues but can appear in renal (kidney) tissue, particularly in young adults.* -
  • This report details the case of a 28-year-old male whose renal PNET was identified after presenting with flank pain and hematuria, leading to a radical nephrectomy and chemotherapy treatment.* -
  • The case emphasizes the importance of considering renal PNET in young patients with unusual kidney masses, as early intervention can significantly impact treatment outcomes and prognosis.*
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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Health-care Professionals' Perception toward Medical Device Postmarket Surveillance Practices: A Cross-sectional Study in India.

Indian J Public Health

July 2024

Secretory-Cum-Scientific Director, Department of Materiovigilance Programme of India (MvPI), Indian Pharmacopoeia Commission, Ministry of Health and Family Welfare, Government of India, Uttar Pradesh, India.

A cross-sectional, web-based survey was conducted to assess the health-care professionals (HCPs)' perception toward existing medical device postmarket surveillance (PMS) practices in India. A total of 1756 responses (medical practitioners [19.8%], nurses [22.

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Current Practices in Genetic Testing for Prostate Cancer: The Indian Scenario.

Indian J Public Health

July 2024

Regional Medical Advisor Oncology, AstraZeneca Pharma India Ltd., Bengaluru, Karnataka, India.

Background: Despite genetic testing being recommended by international guidelines for the selection of targeted therapy for prostate cancer (PCa), limited data are available on genetic testing for PCa in India.

Objectives: The objective is to understand the current genetic testing practice pattern for PCa in India.

Materials And Methods: A panel of 9 experts developed and validated a premeeting online questionnaire comprising 12 objective questions.

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Patellar instability is a challenging orthopedic condition affecting both pediatric and adult populations. The diagnosis and treatment of this condition present challenges for surgeons because of the multitude of classifications and treatment options available in the literature, leading to potential confusion in treatment strategies. Nonoperative treatments often prove ineffective, with reported recurrence rates nearing.

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Aim: The aim of this study is to report our experience in the treatment of congenital buried penis using a simplified technique of retrograde progression of inner preputial skin for reconstruction and overcome skin shortage.

Methods: This is a retrospective multi-institutional study conducted in the Department of Pediatric Surgery, I Q City Medical College and Hospital, Durgapur, West Bengal, India, and the Department of Paediatric Surgery, Rajiv Gandhi Super Specialty Hospital/Raichur Institute of Medical Sciences, Raichur, Karnataka, India, over a period of 3 years (from March 2019 to February 2022). A total of 14 cases of primary congenital buried penis were operated in the specified period.

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Emphysematous pyelonephritis (EPN) is a rare infectious disease affecting the renal and perirenal tissues, wherein gas formation occurs in the renal parenchyma, perinephric tissues, or collecting systems. It can be life threatening with mortality rates upto 60%. Here, we report a case series of EPN during the COVID pandemic with COVID test-positive patients who were diagnosed based on clinical signs, symptoms, and CT scans.

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