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  1. Article: COVID-19 Pills - A Long Awaited Ally for Out-Patient Therapeutics.

    Regunath, Hariharan

    Missouri medicine

    2022  Volume 119, Issue 1, Page(s) 26–27

    MeSH term(s) COVID-19 ; Humans ; Outpatients
    Language English
    Publishing date 2022-08-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 427362-x
    ISSN 0026-6620
    ISSN 0026-6620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Long COVID: Where Are We in 2023?

    Regunath, Hariharan / Goldstein, Nir M / Guntur, Vamsi P

    Missouri medicine

    2023  Volume 120, Issue 2, Page(s) 102–105

    MeSH term(s) Humans ; Post-Acute COVID-19 Syndrome ; COVID-19
    Language English
    Publishing date 2023-04-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 427362-x
    ISSN 0026-6620
    ISSN 0026-6620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Coronavirus Disease 2019 Pandemic as Catalyst for Telemedicine Adoption: A Single-Center Experience.

    Malhotra, Kunal / Sivaraman, Aparna / Regunath, Hariharan

    Telemedicine reports

    2020  Volume 1, Issue 1, Page(s) 16–21

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2020-11-18
    Publishing country United States
    Document type Journal Article
    ISSN 2692-4366
    ISSN (online) 2692-4366
    DOI 10.1089/tmr.2020.0003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Relapsing Polychondritis.

    Haslag-Minoff, Jen / Regunath, Hariharan

    The New England journal of medicine

    2018  Volume 378, Issue 18, Page(s) 1715

    MeSH term(s) Adult ; Ear/pathology ; Glucocorticoids/therapeutic use ; Humans ; Male ; Nose/pathology ; Polychondritis, Relapsing/diagnosis ; Polychondritis, Relapsing/drug therapy ; Prednisone/therapeutic use
    Chemical Substances Glucocorticoids ; Prednisone (VB0R961HZT)
    Language English
    Publishing date 2018-05-28
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMicm1713302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Ehrlichiosis Presenting as Hemophagocytic Lymphohistiocytosis in an Immunocompetent Adult.

    Patel, Tarang Pankaj / Beck, Phillip / Chairman, Dennis / Regunath, Hariharan

    IDCases

    2020  Volume 20, Page(s) e00813

    Abstract: Hemophagocytic Lymphohistiocytosis (HLH) is a fatal, immunologic syndrome characterized by dysregulated tissue inflammation. HLH can be either primary or secondary; with the latter typically resulting from an infection. Diagnosis requires five or more of ...

    Abstract Hemophagocytic Lymphohistiocytosis (HLH) is a fatal, immunologic syndrome characterized by dysregulated tissue inflammation. HLH can be either primary or secondary; with the latter typically resulting from an infection. Diagnosis requires five or more of the following: fever, splenomegaly, cytopenia, hypertriglyceridemia, hemophagocytosis via biopsy, low natural killer (NK) cell activity, elevated ferritin and soluble CD25 level (sCD25). We present a case of HLH related to ehrlichiosis. In order to mount an effective immune response against microbes such as
    Language English
    Publishing date 2020-05-12
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2745454-X
    ISSN 2214-2509
    ISSN 2214-2509
    DOI 10.1016/j.idcr.2020.e00813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Circumferential iris lesions in a male with cirrhosis caused by Candida dublinensis endophthalmitis.

    Abu Khalaf, Suha / Elkeeb, Ahmed / Salzer, William / Regunath, Hariharan

    IDCases

    2019  Volume 18, Page(s) e00621

    Language English
    Publishing date 2019-09-18
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2745454-X
    ISSN 2214-2509
    ISSN 2214-2509
    DOI 10.1016/j.idcr.2019.e00621
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Impact of a nutrition support therapy on hospital-acquired infections: A value analysis.

    Bechtold, Matthew L / Regunath, Hariharan / Tyler, Renay / Guenter, Peggi / Barrocas, Albert / Collins, Nilsa A

    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition

    2021  Volume 36, Issue 5, Page(s) 1034–1040

    Abstract: Background: Hospital-acquired conditions (HACs) have a direct impact on value, as they decrease quality and increase costs. Numerous interventions have been tried, including nutrition support therapy, with unknown effect on value. Therefore, a value ... ...

    Abstract Background: Hospital-acquired conditions (HACs) have a direct impact on value, as they decrease quality and increase costs. Numerous interventions have been tried, including nutrition support therapy, with unknown effect on value. Therefore, a value analysis of nutrition support therapy on HACs was performed.
    Methods: An extensive literature search was performed. Using the Medicare Parts A and B Claims 5% Sample data set, analytic claims modeling was conducted.
    Results: The search identified 1099 studies, with eight meeting the inclusion criteria. All studies were performed on adult critically ill patients and focused on HA infections (HAIs) as the HAC. One study underwent Medicare claims modeling and revealed nutrition therapy has the potential of saving at least $104 million annually in Medicare patients with HAIs.
    Conclusion: Nutrition support therapy has the potential to reduce costs of Medicare spending in respect to HAIs.
    MeSH term(s) Adult ; Aged ; Cross Infection/epidemiology ; Cross Infection/prevention & control ; Hospitals ; Humans ; Iatrogenic Disease ; Medicare ; Nutrition Therapy ; United States
    Language English
    Publishing date 2021-07-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10729
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Are We Coping Well with COVID-19?: A Study on Its Psycho-Social Impact on Front-line Healthcare Workers.

    Maduke, Tinashe / Dorroh, James / Bhat, Ambarish / Krvavac, Armin / Regunath, Hariharan

    Missouri medicine

    2020  Volume 118, Issue 1, Page(s) 55–62

    Abstract: Background: Global pandemics have a profound psycho-social impact on health systems and their impact on healthcare workers is under-reported.: Methods: We performed a cross-sectional survey with 13 Likert-scale responses and some additional polar ... ...

    Abstract Background: Global pandemics have a profound psycho-social impact on health systems and their impact on healthcare workers is under-reported.
    Methods: We performed a cross-sectional survey with 13 Likert-scale responses and some additional polar questions pertaining to dressing habits and learning in a university hospital in the midwest United States. Descriptive and analytical statistics were performed.
    Results: The 370 respondents (66.1% response rate, age 38.5±11.6 years; 64.9% female), included 102 supervising providers [96 (25.9%) physicians, 6 (1.6%) mid-level], 64 (17.3%) residents/fellows, 73 (19.7% nurses, 45 (12.2%) respiratory therapists, 31 (8.4%) therapy services and others: 12 (3.2%) case-managers, 4 (1.1%) dietitians, 39 (10.5%) unclassified]. Overall, 200 (54.1%) had increased anxiety, 115 (31.1%) felt overwhelmed, 159 (42.9%) had fear of death, and 281 (75.9%) changed dressing habits. Females were more anxious (70.7% vs. 56%, X
    Conclusion: Despite belief of a supportive administration, over half of healthcare workers and learners reported increased anxiety, and nearly a third felt overwhelmed during this current pandemic.
    MeSH term(s) Adaptation, Psychological/physiology ; Adult ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/psychology ; COVID-19/virology ; Cross-Sectional Studies ; Female ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Health Personnel/trends ; Humans ; Male ; Middle Aged ; Occupational Stress/epidemiology ; Occupational Stress/psychology ; Psychology/statistics & numerical data ; SARS-CoV-2/genetics ; SARS-CoV-2/isolation & purification
    Language English
    Publishing date 2020-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 427362-x
    ISSN 0026-6620
    ISSN 0026-6620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Calciphylaxis: An Analysis of Concomitant Factors, Treatment Effectiveness and Prognosis in 30 Patients.

    Panchal, Sarju / Holtermann, Kirstie / Trivedi, Namrita / Regunath, Hariharan / Yerram, Preethi

    International journal of nephrology and renovascular disease

    2020  Volume 13, Page(s) 65–71

    Abstract: Background: Calciphylaxis is a rare but severe complication mostly affecting patients with end-stage renal disease (ESRD) and is associated with high morbidity and mortality. The natural history, concomitant factors, pathogenesis, and treatment for ... ...

    Abstract Background: Calciphylaxis is a rare but severe complication mostly affecting patients with end-stage renal disease (ESRD) and is associated with high morbidity and mortality. The natural history, concomitant factors, pathogenesis, and treatment for calciphylaxis remain equivocal.
    Methods: We conducted a retrospective study on patients diagnosed with calciphylaxis in a tertiary care center between January 1, 2012, and December 31, 2017. We describe demographics, co-morbidities, laboratory parameters, effectiveness of sodium thiosulfate treatment and outcomes.
    Results: Of the 30 patients (age 65.6 ± 12.79 years, male:female = 8:22), 23 (76.67%) had ESRD and were either on hemodialysis (15 [65.22%], median duration 22.5 months [range 0.2-96 months]) or peritoneal dialysis (8 [34.78%], duration 29±10 months). Predisposing home medications: 8 (28%) had calcium supplements, 10 (36%) had warfarin, 16 (57%) had vitamin D and 5 (18%) had iron supplements. The median parathyroid hormone (PTH) level was 239.8 pg/mL (range 4.7-2922). Calciphylaxis was found on extremities in 21 (70%) and on torso in 6 (20%) patients. Sodium thiosulfate (STS) was given for treatment in 20 (67%) patients and 3 were cured in <2.25 months. One-year survival for all patients with calciphylaxis was 26% (29% for STS group and 20% for those that did not receive STS) and following any surgical treatment regardless of STS use was 14%.
    Limitations: Retrospective design, absence of a control group and low power.
    Conclusion: Calciphylaxis was more common among females with a predilection for extremities over the torso. Elevations in PTH and inflammatory markers were common. Treatment with STS did not show a statistically significant improvement in survival. Those who were cured, were treated with STS up to three months.
    Language English
    Publishing date 2020-04-05
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2508160-3
    ISSN 1178-7058
    ISSN 1178-7058
    DOI 10.2147/IJNRD.S241422
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Impact of a nutrition support therapy on hospital‐acquired infections: A value analysis

    Bechtold, Matthew L. / Regunath, Hariharan / Tyler, Renay / Guenter, Peggi / Barrocas, Albert / Collins, Nilsa A.

    Nutrition in clinical practice. 2021 Oct., v. 36, no. 5

    2021  

    Abstract: BACKGROUND: Hospital‐acquired conditions (HACs) have a direct impact on value, as they decrease quality and increase costs. Numerous interventions have been tried, including nutrition support therapy, with unknown effect on value. Therefore, a value ... ...

    Abstract BACKGROUND: Hospital‐acquired conditions (HACs) have a direct impact on value, as they decrease quality and increase costs. Numerous interventions have been tried, including nutrition support therapy, with unknown effect on value. Therefore, a value analysis of nutrition support therapy on HACs was performed. METHODS: An extensive literature search was performed. Using the Medicare Parts A and B Claims 5% Sample data set, analytic claims modeling was conducted. RESULTS: The search identified 1099 studies, with eight meeting the inclusion criteria. All studies were performed on adult critically ill patients and focused on HA infections (HAIs) as the HAC. One study underwent Medicare claims modeling and revealed nutrition therapy has the potential of saving at least $104 million annually in Medicare patients with HAIs. CONCLUSION: Nutrition support therapy has the potential to reduce costs of Medicare spending in respect to HAIs.
    Keywords adults ; data collection ; diet therapy ; nutrition
    Language English
    Dates of publication 2021-10
    Size p. 1034-1040.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10729
    Database NAL-Catalogue (AGRICOLA)

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