67 results match your criteria: "V.M.M.C. & Safdarjung Hospital[Affiliation]"

Aims And Objective: To evaluate the patients at risk of venous thromboembolism (VTE) based on Caprini VTE risk assessment scale and the effect of implementation of this scale on the use of thromboprophylaxis.

Materials And Methods: A prospective study was conducted, including patients who underwent major elective surgical procedures. Demographic details were noted, and VTE prophylaxis offered if needed.

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Introduction: Postmenopausal bleeding (PMB) refers to any uterine bleeding in a menopausal women. In the early menopausal years, endometrial hyperplasia, polyps and submucosal fibroids are common etiologies of post menopausal bleeding. The most common cause of postmenopausal bleeding is endometrial atrophy, comprises of 60-80%, while endometrial hyperplasia and endometrial cancer contribute to only 11% of Post menopausal bleeding.

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Risk factors and fetomaternal outcome in pregnancy-related acute kidney injury.

J Family Med Prim Care

December 2023

Department of Nephrology and Renal Transplant Medicine, V.M.M.C. and Safdarjung Hospital, New Delhi, Delhi, India.

Introduction: Pregnancy-related acute kidney injury (PRAKI) is acute kidney injury (AKI) occurring during pregnancy, labor, and postpartum period. AKI is defined as suddenly impaired kidney function with the retention of nitrogenous and other waste products. In high population country like India, not all deliveries are done tertiary care.

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Article Synopsis
  • - This study aimed to evaluate the effectiveness of the Pre-eclampsia Integrated Estimate of Risk (fullPIERS) model in predicting complications for pregnant women with pre-eclampsia within the first 24 hours of admission.
  • - Researchers tracked 256 women with pre-eclampsia over 48 hours to 7 days, finding that 39.5% experienced maternal complications, while 46.9% faced fetal complications, indicating significant risks.
  • - The fullPIERS model showed strong predictive ability, with a ROC area of 0.843, and it demonstrated good sensitivity and specificity, particularly for maternal outcomes, making it a valuable tool for assessing risks in pre-eclampsia.
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Objective: To evaluate fetomaternal outcomes in women who are normoglycemic by Diabetes in Pregnancy Study Group India (DIPSI) but have gestational diabetes mellitus (GDM) by WHO criteria versus those who are normoglycemic by both DIPSI and WHO criteria.

Methods: This was a prospective, cohort study. A total of 635 women participated.

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Bullous hemorrhagic dermatosis: A rare cutaneous reaction of heparin.

J Postgrad Med

April 2023

Department of Dermatology and STD, V.M.M.C. and Safdarjung Hospital, New Delhi, India.

Bullous hemorrhagic dermatosis is a rare cutaneous reaction of heparin, a commonly used anticoagulant. Exact etiopathogenesis remains elusive but immune related mechanisms as well as dose dependent relationship have been proposed. Clinically, it is characterized by asymptomatic, tense hemorrhagic bullae on extremities or abdomen occurring 5-21 days after initiation of therapy.

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Introduction: Fibroblast growth factor 23 (FGF-23) is a phosphate metabolism regulator in patients with chronic kidney disease (CKD). The present study is aimed to examine the FGF-23 level in pre-dialysis patients with CKD and its correlation with carotid artery calcification (CAAC).

Methods: This cross-sectional study included patients with CKD and controls.

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Introduction: Calcium plays an important role in the pathogenesis of ischemic cell damage. Intracellular calcium accumulation leads to neuronal damage by triggering the cycle of cytotoxic events. In this study, the association of serum calcium levels with clinical severity of ischemic stroke as defined by the National Institute of Health Stroke Scale (NIHSS) score was evaluated.

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Healthcare professionals are "corona saviors" not "warriors".

J Family Med Prim Care

May 2022

Department of Nephrology and Renal Transplant Medicine, V.M.M.C. & Safdarjung Hospital, New Delhi, India.

During the coronavirus disease 2019 (COVID-19) pandemic, the role of doctors and healthcare professionals came into highlight as they are at the forefront since the onset of the pandemic, keeping themselves and their families at risk just to treat this disease and save lives. However, healthcare workers are not warriors. Let our healthcare professionals be called as "Corona Saviors" instead of "Corona Warriors" without any prejudice; they are the "Angels of Saviors of Health.

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The purpose of this study was to describe the single-triangle technique for congenital ptosis repair with a frontalis sling in blepharophimosis patients. The single-triangle technique was used in 40 eyes of 20 patients of blepharophimosis syndrome. The center point of the lid is marked.

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Purpose: To compare the efficacy of eye-drop interferon (IFN) α-2b 1 millionIU/mL with eye-ointment tacrolimus 0.03% in refractory vernal keratoconjunctivitis (VKC).

Materials And Methods: Fifty patients with VKC refractory to conventional treatment with topical corticosteroids and antihistamines after 4 weeks of regular use were selected retrospectively.

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Purpose: To elucidate the use of Ripasudil in patients of advanced glaucoma on maximally tolerated medical therapy who could not be offered the option of surgery due to the global pandemic lockdown.

Materials And Methods: Only patients with primary open angle glaucoma (POAG), who had a cup-disc ratio (CDR) of 0.9 or a near total cupping on maximum tolerated medical therapy for at least 4 weeks and yet could not meet the target IOP were included.

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Introduction: Acute mesenteric ischemia (AMI) is the sudden onset of small intestinal hypoperfusion, which can be due to reduction or cessation of arterial inflow. It can be embolic or thrombotic. AMI is a potentially fatal vascular emergency, with overall mortality of 60%-80%.

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Background: The aim of this study to determine maternal adiponectin and leptin levels as biomarkers of pre-eclampsia and compare adiponectin and leptin ratio.

Materials And Methods: This is a prospective study. The enrolled women were divided into two groups: first, study group ( = 60) comprised of women diagnosed with pre-eclampsia and second, control group ( = 60) comprised of age- and gestation-matched normotensive and nonproteinuric women.

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Multidimensional impact of COVID-19 pandemic in India-Challenges and future direction.

J Family Med Prim Care

December 2020

Department of Nephrology and Renal Transplant Medicine, V.M.M.C. and Safdarjung Hospital, New Delhi, India.

Direct impact of COVID-19 pandemic on lives is almost well known to the world with gradual reporting of its various systemic effects from almost every country. But this disease doesn't have direct impacts only, it causes collateral damage along with some hidden effects which may or may not be reported now and many will be come in future. India, a developing country, also got affected during this pandemic and now ranks under five in relation to the number of cases being reported till now.

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Capsular bag phimosis.

Am J Ophthalmol Case Rep

December 2020

Department of Ophthalmology, V.M.M.C & Safdarjung Hospital, Ring Road, Ansari Nagar, New Delhi, 110029, India.

A 60year old male presented with insidious onset, gradually progressive, painless diminution of vision in the right eye since a year. He was operated for cataract about 7 years ago. However, details of surgery or intraocular lens (IOL) were unavailable.

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Purpose: To determine whether macular volume and macular GCA measurements in patients are comparable to their RNFL thickness parameters.

Materials And Methods: The cross-sectional, observational study was conducted on 1380 eyes with 460 each, into three groups. Group I: patients with healthy eyes.

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Purpose: To compare anterior chamber depth and postoperative visual outcome in patients undergoing phacoemulsification under topical vs peribulbar anesthesia.

Materials And Methods: Prospective, randomized, comparative observational study.Sample size: 110 eyes with 55 eyes each.

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Purpose: To evaluate the effect of frontalis sling surgery for congenital ptosis on corneal curvature and refractive status.

Methods: Prospective study of 60 eyes of 48 patients with severe simple congenital ptosis who underwent surgical correction by frontalis sling surgery. Assessment was done pre-operatively and at 1 week, 1 month, 3 months post-operatively by computerized topographer (Shipp Nippon, CT 1000), IOL master (Carl Zeiss, 500), autorefractometer (Unicos URK-800) and AS-OCT (Cirrus HD-OCT).

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Purpose: To define the use of modified bandage-contact-lens as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident.

Observation: Phacoemulsification has now become the standard cataract surgery in which anterior capsulorhexis is the first and most crucial step. A perfect capsulorhexis is difficult to learn and even more difficult to master with a steep learning curve when performed free-hand especially by a first-year post-graduate ophthalmology-resident.

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A 23-year-old male presented with unilateral acute onset, painless, progressive diminution of vision. Initial clinical and radiological findings were consistent with optic neuritis. The patient was started on pulse steroids leading to visual recovery.

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