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  • 1
    Online Resource
    Online Resource
    Evaluation of a Hospitalized Pediatric COVID-19 Cohort from Indian National Clinical Registry of COVID-19
    Springer Science and Business Media LLC ; 2023
    In:  Indian Journal of Pediatrics Vol. 90, No. 10 ( 2023-10), p. 1000-1007
    Details
    In: Indian Journal of Pediatrics, Springer Science and Business Media LLC, Vol. 90, No. 10 ( 2023-10), p. 1000-1007
    Type of Medium: Online Resource
    ISSN: 0019-5456 , 0973-7693
    URL: Article
    DOI: 10.1007/s12098-022-04449-w
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2065273-2
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  • 2
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    Post COVID sequelae among COVID-19 survivors: insights from the Indian National Clinical Registry for COVID-19
    BMJ ; 2023
    In:  BMJ Global Health Vol. 8, No. 10 ( 2023-10), p. e012245-
    Details
    In: BMJ Global Health, BMJ, Vol. 8, No. 10 ( 2023-10), p. e012245-
    Abstract: The effects of COVID-19 infection persist beyond the active phase. Comprehensive description and analysis of the post COVID sequelae in various population groups are critical to minimise the long-term morbidity and mortality associated with COVID-19. This analysis was conducted with an objective to estimate the frequency of post COVID sequelae and subsequently, design a framework for holistic management of post COVID morbidities. Methods Follow-up data collected as part of a registry-based observational study in 31 hospitals across India since September 2020–October 2022 were used for analysis. All consenting hospitalised patients with COVID-19 are telephonically followed up for up to 1 year post-discharge, using a prestructured form focused on symptom reporting. Results Dyspnoea, fatigue and mental health issues were reported among 18.6%, 10.5% and 9.3% of the 8042 participants at first follow-up of 30–60 days post-discharge, respectively, which reduced to 11.9%, 6.6% and 9%, respectively, at 1-year follow-up in 2192 participants. Patients who died within 90 days post-discharge were significantly older (adjusted OR (aOR): 1.02, 95% CI: 1.01, 1.03), with at least one comorbidity (aOR: 1.76, 95% CI: 1.31, 2.35), and a higher proportion had required intensive care unit admission during the initial hospitalisation due to COVID-19 (aOR: 1.49, 95% CI: 1.08, 2.06) and were discharged at WHO ordinal scale 6–7 (aOR: 49.13 95% CI: 25.43, 94.92). Anti-SARS-CoV-2 vaccination (at least one dose) was protective against such post-discharge mortality (aOR: 0.19, 95% CI: 0.01, 0.03). Conclusion Hospitalised patients with COVID-19 experience a variety of long-term sequelae after discharge from hospitals which persists although in reduced proportions until 12 months post-discharge. Developing a holistic management framework with engagement of care outreach workers as well as teleconsultation is a way forward in effective management of post COVID morbidities as well as reducing mortality.
    Type of Medium: Online Resource
    ISSN: 2059-7908
    URL: Article
    DOI: 10.1136/bmjgh-2023-012245
    Language: English
    Publisher: BMJ
    Publication Date: 2023
    detail.hit.zdb_id: 2851843-3
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  • 3
    Online Resource
    Online Resource
    Pyoderma Gangrenosum: An Ulcer With Unorthodox Treatment
    Springer Science and Business Media LLC ; 2021
    In:  Cureus
    Details
    In: Cureus, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 2168-8184
    URL: Article
    DOI: 10.7759/cureus.19324
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2747273-5
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  • 4
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    A clinical study on ventral hernias in a tertiary care hospital
    Medip Academy ; 2017
    In:  International Surgery Journal Vol. 4, No. 8 ( 2017-07-24), p. 2600-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 4, No. 8 ( 2017-07-24), p. 2600-
    Abstract: Background: Ventral hernias comprise the second most common hernia presentations in the surgical world. This study was undertaken to know the different clinical types, age incidence, predisposing factors for ventral hernia and also to study the post-operative results of different operative procedures.Methods: 250 cases of abdominal wall hernias were studied during the period of 3.5 years from January 2013 to June 2016. Out of which 150 cases were studied retrospectively from January 2013 to December 2014 with the help of the case sheets available in the MRD. The prospective study was done from January 2015 to June 2016 in which each patient was evaluated separately and thoroughly and his surgery planned so as to obtain satisfactory results. 69.6% were incisional hernias following an operation. 8% patients had presented with complications like irreducibility, obstruction and strangulation. The presence of associated diseases, large hernia, poor condition of local tissue (muscle), all make the surgical management of ventral hernia a complex problem. Either anatomical repair or Mesh repair were undertaken for all patients in this study.Results: Females were affected much more than the males. The proportion of females to males affected with ventral hernia was 5:1. Out of the three types of hernia that were studied only epigastric hernia showed more incidence in males whereas incisional and paraumbilical hernias were much more common in females. Most common age presentation was fourth and fifth decade. 92% of ventral hernias were uncomplicated at the time of presentation. In 100% of the cases swelling was the complaint followed by pain (18.8%). Previous surgery was the most common etiological factor in the development of ventral hernias (69.6%) followed by obesity (23.2%) In both groups mesh repair (63.6%) and anatomical repair (36.4%) there were no recurrences or deaths in the follow up period of 3 months.Conclusions: Ventral hernias are common surgical complaints. Prevention is the better treatment in the form of meticulous dissection and proper post-operative care to avoid incisional hernias. Presence of ventral hernia is an indication for surgery even in presence of co-morbid conditions like ascites, COPD, BPH as these patients are more prone for complications and of course these conditions need proper addressal. Mesh repair has nowadays become the standard of care but the results of the surgery depends upon the expertise of the surgeon.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20173106
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
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  • 5
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    Online Resource
    Laparoscopic management of appendicular lump
    Medip Academy ; 2020
    In:  International Surgery Journal Vol. 7, No. 9 ( 2020-08-27), p. 3065-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 7, No. 9 ( 2020-08-27), p. 3065-
    Abstract: The surgical management of an appendicular lump remains controversial. With the revolution and advancement of laparoscopic instrumentation and technical learning curve, it is possible to remove an inflamed appendix in presence of lump. This retrospective study was performed between August 2018 and August 2019 in AIIMS Raipur, 86 patients were treated for appendicitis laparoscopically, in these 14 patients had appendicular lump at the time of admission. 12 patients (total 14; 2 patients were excluded) underwent laparoscopic intervention for appendicular lump. Average operative time were 90 minutes. Average post-operative hospital stay were 5 days. Post-operative complications were seen in 2 patients (surgical site infection). In histopathology report, appendicular inflammation suggestive of appendicitis were present in all operated cases. We conclude, early laparoscopic appendectomy confirms the diagnosis. It is safe and feasible in patients with appendicular lump. It reduces the treatment cost, early recovery and satisfactory overall outcome.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20203538
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2020
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  • 6
    Online Resource
    Online Resource
    FNAC and histopathological correlation of salivary gland lesions: an observational study
    Medip Academy ; 2017
    In:  International Surgery Journal Vol. 4, No. 7 ( 2017-06-22), p. 2148-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 4, No. 7 ( 2017-06-22), p. 2148-
    Abstract: Background: Fine needle aspiration cytology (FNAC) is a sensitive and specific and yet an economically effective technique for diagnosis of salivary gland lesions. FNAC of salivary glands has achieved a pivotal role in the diagnosis and management of salivary gland lesions since its induction by Stewart et al in 1933. However, it has always been under scrutiny when compared to histopathology. Histopathology of salivary gland lesions is still the final method to establish diagnosis and predicting prognosis in these lesions.1Methods: A prospective observational study of 50 patients with salivary gland lesions was done at Gauhati Medical College and hospital from June 2011 to May 2012. 39 patients underwent histopathological confirmation. Cases with histopathological correlation were included in calculating diagnostic accuracy. The cytological findings were correlated with that of the histopathological diagnosis to obtain the accuracy of the cytological diagnosis. The parameters of diagnostic validity of the cytological technique in terms of sensitivity, specificity and predictive value were evaluated.Results: Study population included patients of age group ranging from 13-70 years with median age group being 31-40 years (30%). 54% of the affected patients were male with the parotid being the most commonly involved gland (62%). Neoplastic lesions constituted the major bulk of the lesions (39 cases, 78%) with benign tumours constituting 54%. The most commonly involved benign neoplastic lesion was pleomorphic adenoma (22cases, 44%). Among the non-neoplastic lesions (22%), the acute sialadenitis was frequently noted. Histopathological correlations were available in 39 cases with 11 cases being the malignant lesions. The acute sialadenitis lesions did not undergo histological examination. 28 cases of non-malignant lesions underwent the histological confirmation. In the present study, the specificity and the sensitivity were found to be 96.42% and 90.91% respectively. The predictive value of salivary gland cytology was 90.91% and diagnostic accuracy was 94.87%.Conclusions: Fine Needle Aspiration Cytology is thus a safe, reliable, quick, convenient and accurate method of diagnosis and should be considered as one of the first line of investigations in the evaluation of salivary gland lesions.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20172624
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
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  • 7
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    Online Resource
    Elective appendicectomy for chronic right lower quadrant pain: a clinical study
    Medip Academy ; 2017
    In:  International Surgery Journal Vol. 4, No. 7 ( 2017-06-22), p. 2189-
    Details
    In: International Surgery Journal, Medip Academy, Vol. 4, No. 7 ( 2017-06-22), p. 2189-
    Abstract: Background: Chronic right-lower-quadrant abdominal pain is a frequent problem among growing population. The purpose of this study is to implement that persistent or recurrent right lower quadrant pain can be treated successfully by elective appendicectomy in properly selected cases. And to detail the outcome of management of these patients with appendectomy.Methods: This observational study was done in Mahatma Gandhi Medical College and Research Institute, Pondicherry, India between 2014-16 in patients with clinical diagnosis of chronic RLQ pain and undergoing appendicectomy. Routine laboratory investigations included hemoglobin percentage, serum leukocyte count and differential count, ESR, urine microscopy, random blood sugar, blood urea, serum creatinine, abdominal ultrasound (USG), and histopathological examination (HPE) of removed the appendix. The primary outcome measure was pain scored by the patient at 6th week and 12th week after surgery. Postoperative histopathology report was compared with the clinical improvement.  The analysis of primary outcome was performed on an intention-to-treat basis. P 〈 0.050 was considered statistically significant.Results: Eighty-two cases of chronic RLQ pain, who met the inclusion criteria, were included in the clinical study. Elective appendicectomy was performed in all 82 patients and sample analysed by HPE.  Out of 82 (100 %) patients who underwent appendicectomy, 45 (54.90 %) were male and 37 (45.10 %) were female. About 79 cases (96.34%) of the patients were completely pain free, and only 3 (3.66%) patients did not improve after elective appendicectomy. There was no mortality. Out of 82 patients, 52 (63.41%) patients had pathological signs of appendicitis and 30 (36.59 %) patients showed the normal appendix.Conclusions: Elective laparoscopic appendicectomy in patients with chronic RLQ pain may be an effective therapeutic procedure in properly selected cases. Histopathology of the removed appendix does not contribute to the diagnosis. However, there appears to be definite scope for a much longer duration of follow-up study of the patients with chronic RLQ pains.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20172764
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2017
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  • 8
    Online Resource
    Online Resource
    Incidental lung findings in a COVID-19 patient on 18F-FDG PET/CT done for preoperative evaluation of Marjolin's ulcer-first report from Chhattisgarh
    Georg Thieme Verlag KG ; 2021
    In:  World Journal of Nuclear Medicine Vol. 20, No. 03 ( 2021-07), p. 319-321
    Details
    In: World Journal of Nuclear Medicine, Georg Thieme Verlag KG, Vol. 20, No. 03 ( 2021-07), p. 319-321
    Abstract: The aim of this case is to illustrate the 18F-fluorodeoxyglucose (FDG) positron emission tomography-computed tomography findings of a patient who was admitted in AIIMS, Raipur, for the preoperative evaluation of Marjolin ulcer and was later diagnosed with COVID-19 infection. Apart from the primary lesion in the right foot and pelvic lymph nodes, the scan revealed mild FDG-avid basal ground-glass opacities in bilateral lung fields with mediastinal and hilar lymph nodal involvement, in an otherwise asymptomatic patient.
    Type of Medium: Online Resource
    ISSN: 1450-1147 , 1607-3312
    URL: Article
    DOI: 10.4103/wjnm.WJNM_82_20
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2021
    detail.hit.zdb_id: 2637229-0
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  • 9
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    Online Resource
    Pre-Operative Parameters for Predicting Difficult Laparoscopic Cholecystectomy
    Diva Enterprises Private Limited ; 2018
    In:  International Journal of Contemporary Surgery Vol. 6, No. 2 ( 2018), p. 49-
    Details
    In: International Journal of Contemporary Surgery, Diva Enterprises Private Limited, Vol. 6, No. 2 ( 2018), p. 49-
    Type of Medium: Online Resource
    ISSN: 2320-9615 , 2321-1024
    URL: Article
    DOI: 10.5958/2321-1024.2018.00033.8
    Language: English
    Publisher: Diva Enterprises Private Limited
    Publication Date: 2018
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  • 10
    Online Resource
    Online Resource
    Pancreatic Lymphangioma: An Unusual Cause of Abdominal Lump
    Springer Science and Business Media LLC ; 2021
    In:  Cureus
    Details
    In: Cureus, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 2168-8184
    URL: Article
    DOI: 10.7759/cureus.19452
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2747273-5
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