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  • 1
    Online Resource
    Online Resource
    Epidemiological profile of patients presenting to dermatology department of a tertiary care hospital during nationwide lockdown due to COVID-19: a retrospective study from north India
    Medip Academy ; 2021
    In:  International Journal of Research in Medical Sciences Vol. 9, No. 2 ( 2021-01-29), p. 443-
    Details
    In: International Journal of Research in Medical Sciences, Medip Academy, Vol. 9, No. 2 ( 2021-01-29), p. 443-
    Abstract: Background: The COVID-19 pandemic has seen an unprecedented lockdown with restrictions on human movement and interaction, imposed throughout the world to contain the spread of the disease. This gave us the unique opportunity to study the pattern of patients presenting to the dermatology out-patient department during this period.Methods: The study was a retrospective observational study involving the assessment of patient records from 25th March 2020 to 7th June 2020. This period corresponds to the duration of strictly imposed nationwide lockdown which was relaxed with phased resumption from 8th June 2020, termed as unlock 1.Results: A decrease in the absolute as well as proportional number of patients was seen in majority of the cases with a statistically significant proportional decline being seen in cases of allergic contact dermatitis (p-value =0.007), acne (p value 〈 0.001), male pattern hair loss (p value 〈 0.001) and female pattern hair loss (p value 〈 0.001), verrucae (p value=0.01), seborrheic dermatitis (p value 〈 0.001), ephelids (p value 〈 0.001), melasma (p value 〈 0.001), post-inflammatory hyperpigmentation (p value=0.006). However, there were certain disorders whose proportionate representation increased significantly during the lockdown period contrary to prevalent belief. These disorders included urticaria (p value 〈 0.001), herpes zoster (p value 〈 0.001), scabies (p value =0.01), generalized pruritus (p value 〈 0.001) and prurigo (p value 〈 0.001).Conclusions: Disorders like acne, male pattern hair loss, female pattern hair loss, verrucae, seborrheic dermatitis, ephelids, melasma and post-inflammatory hyperpigmentation which do not cause significant morbidity showed a significant decrease in proportional representation. The proportionate representation of disorders like urticaria, herpes zoster, scabies, generalized pruritus and prurigo increased significantly during the lockdown period.
    Type of Medium: Online Resource
    ISSN: 2320-6012 , 2320-6071
    URL: Article
    DOI: 10.18203/2320-6012.ijrms20210421
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2021
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  • 2
    Online Resource
    Online Resource
    Buried vs. Exposed K-wire Fixation in Lateral Condyle Distal Humerus Fractures in Children
    International Journal for Multidisciplinary Research (IJFMR) ; 2022
    In:  International Journal For Multidisciplinary Research Vol. 04, No. 04 ( 2022), p. 429-433
    Details
    In: International Journal For Multidisciplinary Research, International Journal for Multidisciplinary Research (IJFMR), Vol. 04, No. 04 ( 2022), p. 429-433
    Abstract: Introduction: Distal humerus lateral condyle fractures are common injuries in childhood and need effective treatment to prevent complications. Open reduction and internal fixation with Kirschner (K) wires is a proven, cost-effective and convenient technique for treating pediatric lateral condyle distal humeral fractures. K-wires may be buried beneath the skin or inserted through the skin with the wire ends exposed. There is no clear consensus as to whether K-wires should be buried or left exposed outside the skin. The aim of this study to compare the results and complications of divergent buried and non-buried K-wires in the treatment of lateral condyle fractures of the distal humerus. Methods: A study was conducted between March 2019 to August 2020 in 32 pediatric patients with lateral condyle fractures of distal humerus who were treated with open reduction with divergent k-wire fixation in our hospital. All patients under the age of 14 years presenting with lateral condyle humerus fractures with more than 2 mm displacement were included in the study. The exclusion criteria were open fractures, undisplaced fractures treated conservatively, and pathological fractures. Results: 32 patients under the age of 14 years were included in this study and were divided into two groups (Buried K-wire group and Exposed K-wire group) based on the treatment they received. Out of the 16 cases with exposed wires, 2 cases had superficial pin tract infection. And out of 16 cases with buried wires, 3 cases developed an infection, and 5 cases had skin erosion. However, no case of severe infection was seen. No cases of non-union were seen and all patients returned to preinjury function.
    Type of Medium: Online Resource
    ISSN: 2582-2160
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.36948/ijfmr.2022
    DOI: 10.36948/ijfmr
    DOI: 10.36948/ijfmr.2022.v04i04.046
    Language: Unknown
    Publisher: International Journal for Multidisciplinary Research (IJFMR)
    Publication Date: 2022
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  • 3
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    Online Resource
    Troponin T and Cardiac Enzyme Levels since Onset of Chest Pain in Patients Suspected of Acute Myocardial Infarction (AMI) in Punjab, Pakistan
    Lahore Medical and Dental College ; 2022
    In:  Pakistan Journal of Medical and Health Sciences Vol. 16, No. 8 ( 2022-08-31), p. 254-257
    Details
    In: Pakistan Journal of Medical and Health Sciences, Lahore Medical and Dental College, Vol. 16, No. 8 ( 2022-08-31), p. 254-257
    Abstract: Objective: To early diagnose the patients of AMI by using cardiac markers like CK, CK-MB, to find out the significance of these enzymes in comparison with high sensitive Troponin T hs and to find out the presence of a micro-infarction by using newly developed cTnT hs method. Patients and Methods: This was a cross sectional study, conducted at Punjab Institute of Cardiology and included 545 patients. Blood sample of every patient “Suspected of AMI” was sent to the laboratory for estimation of CK, CK-MB by conventional kit method and a high sensitive Troponin T reagent kit was used for prompt diagnosis of AMI. Patients of varying age were included and demographic details like hypertension, diabetes and smoking, family history of IHD, were collected to find out association with AMI. Results: Out of 545 study participants 62.65% (n=341) were male and 37.43% (n=204) were females, the mean age was 54.8 ± 13.42 years, the most frequent risk factor seen was hypertension (HTN in 72.0 % (n=90), followed by Smoking 45.5% (n=90), Diabetes mellitus (DM) 43.3% (n=90), and frequency of family history was seen 18.8% (n=90) in patients positive for acute myocardial infarction (AMI). 78.8% (n=90) males and 21.2%(n=90) females, indicated more prevalence of AMI in male population with frequency of AMI in patients from 41-60 years of age. There was significant association between hypertension, smoking and diabetes with AMI. Family history was not significantly associated with the incidence of AMI. CPK, CK-MB were performed on patient’s serum sample according to the procedures determined by reagent kits of Roche Diagnostic company on Chemistry Analyzer Hitachi 912. Optimized UV test method was used according to DGKC (German Society of Clinical Chemistry and Laboratory Medicine) and IFCC. Special Chemistry analyzer Cobas e 411, automated instrument was used for the quantitative measurement of Troponin T by using Chemiluminescence method (Troponin T hs reagent kits of Roche Diagnostic Company). Conclusion: It was concluded that a direct relationship exists between Troponin T and CPK, and CK-MB was more specific with even more closer and linear relationship with Troponin T hs. It was further observed that high sensitive Troponin T reagent method alone was sufficient to make a final diagnosis of AMI. Troponin T hs alone not only reduces the investigation time but reduces the overall cost as well. Keywords: Acute Myocardial Infarction.
    Type of Medium: Online Resource
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.53350/pjmhs22168
    DOI: 10.53350/pjmhs2216
    DOI: 10.53350/pjmhs22168254
    Language: Unknown
    Publisher: Lahore Medical and Dental College
    Publication Date: 2022
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  • 4
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    Online Resource
    Lymphoma Presenting as Severe Left Ventricular Systolic Dysfunction: A Case Report
    Oman Medical Journal ; 2014
    In:  Oman Medical Journal Vol. 29, No. 3 ( 2014-5-15), p. 223-225
    Details
    In: Oman Medical Journal, Oman Medical Journal, Vol. 29, No. 3 ( 2014-5-15), p. 223-225
    Type of Medium: Online Resource
    ISSN: 1999-768X , 2070-5204
    URL: Article
    DOI: 10.5001/omj.2014.55
    Language: Unknown
    Publisher: Oman Medical Journal
    Publication Date: 2014
    detail.hit.zdb_id: 2571431-4
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  • 5
    Online Resource
    Online Resource
    Allergic Response to Pace Maker with Non Healing Wound
    Modestum Ltd ; 2014
    In:  Electronic Journal of General Medicine Vol. 11, No. 4 ( 2014-10-15)
    Details
    In: Electronic Journal of General Medicine, Modestum Ltd, Vol. 11, No. 4 ( 2014-10-15)
    Type of Medium: Online Resource
    ISSN: 2516-3507
    URL: Article
    DOI: 10.15197/sabad.1.11.90
    Language: Unknown
    Publisher: Modestum Ltd
    Publication Date: 2014
    detail.hit.zdb_id: 3143867-2
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  • 6
    Online Resource
    Online Resource
    Magnetic Resonance Imaging in Cardiac Syndrome X
    Sheri-i-Kashmir Institute of Medical Sciences ; 2011
    In:  JMS SKIMS Vol. 14, No. 2 ( 2011-12-20), p. 46-51
    Details
    In: JMS SKIMS, Sheri-i-Kashmir Institute of Medical Sciences, Vol. 14, No. 2 ( 2011-12-20), p. 46-51
    Abstract: BACKGROUND: Cardiac syndrome X is a subject with yet unsettled etiology and management. Conventional investigations have not been able to establish that chest pain is due to myocardial ischemia. Magnetic resonance imaging has higher resolution and is more accurate for detecting ischemia. AIMS AND OBJECTIVES: To establish subendocardial ischemia as the cause of chest pain in cardiac syndrome X by virtue of stress perfusion cardiac MRI. METHODS: Contrast enhanced cardiac MRI was performed in 15 cases and 7 matched controls both at rest and during a six minute infusion of adenosine. Both visual and quantitive analysis were performed. In quantitative analysis both myocardial perfusion index and myocardial perfusion reserve index was measured. RESULTS: There was a significant increase in myocardial perfusion in both subendocardium as well as in subepicardium in both cases as well as in controls upon stress with adenosine. In controls the subendocardial perfusion index rose from 0.13 0.3 to 0.18 .03 and in the subepicardium from 0.12 .02 to 0.18 .03. In patients with cardiac syndrome X subendocardial perfusion index rose from 0.14 .03 to 0.19 .03 and subepicardial perfusion index rose from 0.13+.03 to 0.19 .03. Visual analysis showed short lasting subendocardial dark rim artificats in both cases and controls which lasted for only 3 to 5 beats. CONCLUSION: Our cardiovascular MR study of patients with cardiac syndrome X demonstrated significant and almost similar magnitude adenosine induced increase in both subendocardial and subepicardial myocardial perfusion indices in both study as well as control group. We found no evidence of subendocardial ischemia in patients with cardiac syndrome X. JMS 2011;14(2):46-51
    Type of Medium: Online Resource
    ISSN: 0972-110X , 0972-110X
    URL: Article
    DOI: 10.33883/jms.v14i2.82
    Language: Unknown
    Publisher: Sheri-i-Kashmir Institute of Medical Sciences
    Publication Date: 2011
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  • 7
    Online Resource
    Online Resource
    Low Voltage Electric Injury induced Atrial Fibrillation as a Presenting Feature of Wolff-Parkinson-White Syndrome: A Case Report
    Oman Medical Journal ; 2013
    In:  Oman Medical Journal Vol. 28, No. 6 ( 2013-11-17)
    Details
    In: Oman Medical Journal, Oman Medical Journal, Vol. 28, No. 6 ( 2013-11-17)
    Type of Medium: Online Resource
    ISSN: 1999-768X , 2070-5204
    URL: Article
    DOI: 10.5001/omj.2013.130
    Language: Unknown
    Publisher: Oman Medical Journal
    Publication Date: 2013
    detail.hit.zdb_id: 2571431-4
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  • 8
    Online Resource
    Online Resource
    Profile of arrythmogenic right ventricular cardiomyopathy/dysplasia (ARCV/D) patients presenting with sustained ventricular tachycardia in a tertiary care center
    Medip Academy ; 2018
    In:  International Journal of Research in Medical Sciences Vol. 6, No. 4 ( 2018-03-28), p. 1211-
    Details
    In: International Journal of Research in Medical Sciences, Medip Academy, Vol. 6, No. 4 ( 2018-03-28), p. 1211-
    Abstract: Background: Arrhythmogenic right ventricular cardiomyopathy /dysplasia (ARVC/D) is a genetic form of cardiomyopathy and is one among the most common causes of sudden cardiac death (SCD). The aim of our study was to analyze the clinical profile of (ARVC/D) patients presenting with sustained Ventricular Tachycardia (VT).Methods: This single center cohort study evaluated 107 patients who presented with sustained ventricular tachycardia (VT) in our hospital. After aetiological evaluation of all these patients, 15 patients were found to have ARVC/D as the cause of sustained ventricular tachycardia (VT) as per the Modified Task Force Criteria. The clinical profile of these patients was observed in detail to enhance our knowledge about this entity in our part of the world.Results: Mean age at presentation was 30 years and 12 patients were males. Nine patients were haemodynamically stable at the time of sustained VT and the rest of patients were haemodynamically unstable. Left Bundle Branch Block (LBBB) was the most common ECG morphology present in 11 patients. Antiarrhythmic drugs terminated VT in 7 patients. All the 6 patients presenting in a state of haemodynamic instability received DC cardioversion. Mortality occurred in 2 patients during the hospital stay.Conclusions: ARVC/D presenting with sustained VT is an important manifestation of the disease. Males are more commonly affected than females. Haemodynamic instability at the time of presentation carries a poor prognosis.
    Type of Medium: Online Resource
    ISSN: 2320-6012 , 2320-6071
    URL: Article
    DOI: 10.18203/2320-6012.ijrms20181270
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2018
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  • 9
    Online Resource
    Online Resource
    A Fair Pricing Mechanism in Smart Grids for Low Energy Consumption Users
    Institute of Electrical and Electronics Engineers (IEEE) ; 2021
    In:  IEEE Access Vol. 9 ( 2021), p. 22035-22044
    Details
    In: IEEE Access, Institute of Electrical and Electronics Engineers (IEEE), Vol. 9 ( 2021), p. 22035-22044
    Type of Medium: Online Resource
    ISSN: 2169-3536
    URL: Journal
    URL: Article
    DOI: 10.1109/Access.6287639
    DOI: 10.1109/ACCESS.2021.3056035
    Language: Unknown
    Publisher: Institute of Electrical and Electronics Engineers (IEEE)
    Publication Date: 2021
    detail.hit.zdb_id: 2687964-5
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  • 10
    Online Resource
    Online Resource
    D-dimer levels in patients with chronic urticaria: A case-control study on a Kashmiri population
    Our Dermatology Online ; 2022
    In:  Our Dermatology Online Vol. 13, No. 4 ( 2022-10-01), p. 365-367
    Details
    In: Our Dermatology Online, Our Dermatology Online, Vol. 13, No. 4 ( 2022-10-01), p. 365-367
    Abstract: Background: Chronic urticaria (CU) is a common skin condition, affecting 0.5-1% of the population. Multiple studies have demonstrated that plasma D-dimer levels could be employed as a biomarker for disease activity and treatment response in patients with CU. Aim: The aim was to evaluate the correlation between D-dimer levels and the disease activity of CU. Materials and Methods: This study was a case-control study conducted on 120 patients suffering from CU and 50 healthy subjects. Plasma D-dimer levels were measured using ELISA. Results: Mean plasma D-dimer levels in the patients with CU (720.5 ng/mL) were significantly higher than those in the controls (405.6 ng/mL) (p 〈 0.001). A significant correlation was observed between plasma D-dimer levels and the UAS (urticaria activity score). Conclusion: The patients with CU had higher plasma D-dimer levels than the control group. A positive statistical correlation was observed between plasma D-dimer levels and the severity of CU.
    Type of Medium: Online Resource
    ISSN: 2081-9390
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.7241/ourd.20224
    DOI: 10.7241/ourd
    DOI: 10.7241/ourd.20224.4
    Language: Unknown
    Publisher: Our Dermatology Online
    Publication Date: 2022
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