193 results match your criteria: "VMMC Safdarjung Hospital[Affiliation]"

Navigating Hyperkalaemia- The A-to-H Clinical Strategy.

J Pak Med Assoc

January 2025

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

Hyperkalaemia is a life-threatening dyselectrolytaemia which is characterized by elevated serum potassium levels. It needs a systematic and overarching approach to effectively manage a case of hyperkalaemia. We propose a structured A-to-H approach to guide clinicians in managing hyperkalaemia, ensuring that no critical aspect is neglected or inadvertently missed.

View Article and Find Full Text PDF

Unlabelled: Gustation is affected in patients of Chronic rhinosinusitis (CRS) depending on severity of diseases. This study aimed to find the prevalence of gustatory dysfunction in patients with CRS. This case-control study included 61 patients with CRS and 61 healthy controls.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to find out how common chronic liver disease is among adult Asian Indians using ultrasound shear wave elastography (SWE) in preventive radiology clinics.
  • Researchers measured liver stiffness in 1,145 participants and found that about 10.65% had advanced chronic liver disease, with 22.79% showing signs suggestive of this condition.
  • The findings highlight that chronic liver disease is linked to various comorbidities and risk factors, indicating a need for preventative strategies based on liver stiffness measurements.
View Article and Find Full Text PDF

Diffuse alveolar hemorrhage (DAH) is characterized by a syndrome of alveolar bleeding, a fall in hemoglobin, and respiratory failure. It can occur because of various immunologic and non-immunologic conditions. The etiology of DAH is important, as treatment varies with the etiology.

View Article and Find Full Text PDF
Article Synopsis
  • - 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.
View Article and Find Full Text PDF

Handling false chronic kidney disease and diabetes treatment information.

J Pak Med Assoc

September 2024

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

Article Synopsis
  • The rise of misleading information about chronic kidney disease (CKD) and diabetes from unqualified sources complicates access to accurate medical advice for patients.
  • This misinformation delays referrals to specialists like nephrologists and endocrinologists, worsening patient outcomes.
  • The communication outlines the challenges posed by this issue and suggests actionable steps for stakeholders and policymakers to address it promptly.
View Article and Find Full Text PDF
Article Synopsis
  • The high prevalence of underweight among women of reproductive age in South Asia leads to serious health issues, including impaired immunity and complications during pregnancy, which the WING study addresses through targeted interventions.
  • The study involved 13,500 women in low- to lower-middle-income neighborhoods of Delhi, providing food supplements tailored to their nutritional needs during preconception and pregnancy phases.
  • Findings revealed that around 35% of participants were underweight; the intervention led to significant improvements in nutritional status and weight gain for two-thirds of these women over 9-12 months and 4 weeks, respectively.
View Article and Find Full Text PDF

Purpose: The present meta-analysis aims to determine the outcomes and failure rates for medial meniscus repairs in patients with stable knees.

Methods: A literature search was conducted using PubMed and Scopus with the terms '(medial meniscus OR medial meniscal) AND (repair)'. The search strategy was based on the PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) protocol and included 93 articles assessed for eligibility.

View Article and Find Full Text PDF
Article Synopsis
  • Lymphangioma is an abnormal growth of lymphatic vessels, with tongue lymphangiomas being relatively rare and traditionally associated with high recurrence rates after treatment.* -
  • This study presents two cases where coblation, a form of radiofrequency ablation, was used successfully on tongue lymphangiomas, resulting in rapid recovery and minimal pain for the patients.* -
  • The findings suggest that radiofrequency ablation leads to better healing and no recurrence after one year, making it a preferred treatment option for oral lymphangiomas.*
View Article and Find Full Text PDF

Background Achilles tendinopathy is a common overuse tendon injury, affecting athletes in running and similar sports. Repetitive overload of the Achilles tendon is the primary cause of inflammation, collagen degeneration, and tendon thickening. This study aims to investigate the efficacy of combining low-level laser therapy (LLLT) with eccentric exercises in treating midportion Achilles tendinopathy.

View Article and Find Full Text PDF

Background: There is little international data on morbidity and mortality of surgery for perforated peptic ulcer (PPU). This study aimed to understand the global 30-day morbidity and mortality of patients undergoing surgery for PPU and to identify variables associated with these.

Method: We performed an international study of adults (≥ 18 years) who underwent surgery for PPU from 1st January 2022 to 30th June 2022.

View Article and Find Full Text PDF

Purpose: To compare the quality of complete dentures and quality of life of participants rehabilitated by using TENS (Transcutaneous electric nerve stimulation) facilitated impression making with manual impressions.

Material And Methods: Ten completely edentulous participants were enrolled in the crossover, pilot study. Participants were randomized in 2 groups.

View Article and Find Full Text PDF
Article Synopsis
  • Plantar fasciitis, a common and painful foot condition, has various treatments, and this study aimed to compare the effectiveness of autologous platelet-rich plasma (PRP) injections versus corticosteroid injections.
  • The study involved 70 patients with chronic plantar fasciitis, who were randomly assigned to receive either PRP or corticosteroid injections, with pain and function assessed before and at multiple follow-ups after the injections.
  • Results indicated that the PRP group had significantly better pain reduction and functional improvements compared to the corticosteroid group after one, three, and six months, suggesting that PRP is a more effective long-term treatment for this condition.
View Article and Find Full Text PDF

Background Objectives: Irrational prescribing practices have major consequences on patient safety and also increase the economic burden. Real-life examples of impact of irrational prescription have potential to improve prescribing practices. In this context, the present study aimed to capture and evaluate the prevalence of deviations from treatment guidelines in the prescriptions, potential consequence/s of the deviations and corrective actions recommended by clinicians.

View Article and Find Full Text PDF

Tuberous sclerosis complex (TSC) is a genetic disorder that causes noncancerous growths and tumors in various body systems. This case report discusses an unusual eye condition called retinal astrocytic hamartoma (RAH) in a TSC patient, along with a brain tumor called subependymal giant cell astrocytoma (SEGA). These conditions, linked to TSC gene mutations, can be atypical in size and cause complications like vitreous hemorrhage.

View Article and Find Full Text PDF

Lead aVR is often considered as a neglected lead or forgotten lead owing to its reciprocal location to the lateral leads. However, it has diagnostic and prognostic importance in cases of acute coronary syndromes. We present a series of four cases of acute coronary syndrome with ST elevation (STE) in aVR and critical stenosis in coronary vessels.

View Article and Find Full Text PDF

Background: Out-of-pocket expenditure (OOPE) for inpatient care has been known to cause maximum impoverishment. It can have debilitating consequences for urban poor households. It is necessary to study inpatient care costs and the related factors among the households of an urban village to determine their vulnerability to catastrophic expenditure and to protect them from it.

View Article and Find Full Text PDF

Oral squamous cell carcinoma (OSCC) is the most common type of oral cancer and accounts for about 95% of all head and neck cancers with high mortality, usually at a late stage. Dysbiosis in the oral microbiome can lead to chronic inflammatory responses and may predispose to the development and progression of OSCC. Tobacco abuse plays an essential role in oral microbiome dysregulation and OSCC pathogenesis.

View Article and Find Full Text PDF

Triple gallbladder, a rare congenital abnormality resulting from the incomplete regression of rudimentary bile ducts, often goes undetected until incidentally discovered during imaging studies. This report presents the case of a 38-year-old male with intermittent abdominal pain, food intolerance, and nausea. Physical examination findings included tenderness in the right hypochondrium and a positive Murphy's sign.

View Article and Find Full Text PDF

The menstrual cycle is a well-known physiological model used to study working memory (WM) function. The present study examined auditory and visuospatial WM during proliferative and secretory phases of three consecutive menstrual cycles.Forty young adult females with a mean age of 23.

View Article and Find Full Text PDF