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  1. Article: Aerosol generating procedures in orthopaedics and recommended protective gear.

    Geevarughese, Nikku Mathew / Haq, Rehan-Ul

    Journal of clinical orthopaedics and trauma

    2020  Volume 12, Issue 1, Page(s) 40–42

    Abstract: The prime of COVID-19 forced institutions and hospitals to convert operating rooms into intensive care units. Now as the disease prevalence drops and plateaus in several countries, elective surgeries are being slowly resuming. Such that asymptomatic ... ...

    Abstract The prime of COVID-19 forced institutions and hospitals to convert operating rooms into intensive care units. Now as the disease prevalence drops and plateaus in several countries, elective surgeries are being slowly resuming. Such that asymptomatic carriers too would approach hospitals for surgical needs. Coronaviruses are understood to transmit both by droplets and aerosols. Orthopaedic surgery requires regular use of high-speed instruments like power drills, oscillating saws and burrs. Several medical procedures are known to create aerosols thereby exposing the surgeon to contract the virus. Adequate know-how and protective means are mandatory to safeguard the surgical team from inevitable exposure.
    Keywords covid19
    Language English
    Publishing date 2020-08-25
    Publishing country India
    Document type Journal Article
    ZDB-ID 2596956-0
    ISSN 2213-3445 ; 0976-5662
    ISSN (online) 2213-3445
    ISSN 0976-5662
    DOI 10.1016/j.jcot.2020.08.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A Rare Case of Habitual Dislocation of the Fourth Metatarsophalangeal Joint.

    Shah, Rajiv / Geevarughese, Nikku Mathew / Kanani, Piyush / Shah, Shivam

    Journal of orthopaedic case reports

    2022  Volume 12, Issue 10, Page(s) 1–4

    Abstract: Introduction: Dislocations of lesser metatarsophalangeal joints (MTPJs) following trauma, inflammatory arthritis, and synovitis are not uncommon. Closed reduction is sufficient in most instances. However, if it is not addressed scientifically in the ... ...

    Abstract Introduction: Dislocations of lesser metatarsophalangeal joints (MTPJs) following trauma, inflammatory arthritis, and synovitis are not uncommon. Closed reduction is sufficient in most instances. However, if it is not addressed scientifically in the first instance; rarely, a habitual dislocation may result.
    Case report: We present a case of a 43-year-old male patient with painful habitual dorsal dislocation of the fourth MTPJ following a trivial trauma 2 years back, resulting in an inability to wear closed footwear. The patient was managed with the repair of the plantar plate, excision of the neuroma, and transfer of long flexor to dorsum to act as dynamic check rein. At 3 months, he was able to wear shoes and returned to normal activities. There was no radiographic evidence of arthritis or avascular necrosis at 2 years follow-up, and he was comfortably using closed footwear.
    Conclusion: Isolated dislocation of the lesser MTPJs is an uncommon entity. Traditional practice is closed reduction. However, if the reduction is inadequate, open reduction should be performed to prevent chances of recurrence.
    Language English
    Publishing date 2022-12-09
    Publishing country India
    Document type Case Reports
    ZDB-ID 2658169-3
    ISSN 2250-0685
    ISSN 2250-0685
    DOI 10.13107/jocr.2022.v12.i10.3340
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Body-mass index COVID-19 severity: A systematic review of systematic reviews.

    Nagar, Manoj / Geevarughese, Nikku Mathew / Mishra, Rakesh / Joshi, Ankur / Galwankar, Sagar / Yunus, Md / Bhoi, Sanjeev / Sinha, Tej P / Agrawal, Amit

    Journal of family medicine and primary care

    2022  Volume 11, Issue 9, Page(s) 5351–5360

    Abstract: Objectives: Conflicting studies have resulted in several systematic reviews and meta-analyses on the relationship between COVID-19 and body mass index (BMI).: Methods: This systematic review of systematic reviews followed an umbrella review design, ... ...

    Abstract Objectives: Conflicting studies have resulted in several systematic reviews and meta-analyses on the relationship between COVID-19 and body mass index (BMI).
    Methods: This systematic review of systematic reviews followed an umbrella review design, and preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines; Medical literature analysis and retrieval system online (MEDLINE) and SCOPUS databases were searched for systematic reviews on the topic. A predefined screening and selection procedure was done for the retrieved results based on the population, intervention/interest, comparator, outcome, study (PICOS) framework.
    Results: The search strategy yielded 6334 citations. With the predefined selection and screening process, 23 systematic reviews were retrieved for inclusion in the present study. Twenty-three (
    Conclusions: Available evidence suggests that Class III obesity (morbid obesity) is strongly associated with increased mortality risk in patients with Covid-19. Increased BMI is positively associated with the risk of IMV and the severity of COVID- care.
    Language English
    Publishing date 2022-10-14
    Publishing country India
    Document type Journal Article
    ZDB-ID 2735275-4
    ISSN 2278-7135 ; 2249-4863
    ISSN (online) 2278-7135
    ISSN 2249-4863
    DOI 10.4103/jfmpc.jfmpc_396_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Outcomes of Displaced, Comminuted, Intracapsular Neck Femur Fracture in Young Adults Managed with Three Screw Inverted Triangle Versus Four Screw Diamond Configuration: A Comparative Pilot Study.

    Kumar, Sapan / Geevarughese, Nikku Mathew / Rajnish, Rajesh Kumar / Lakshminarayana, Sumanth / Aggarwal, Aditya N / Ul Haq, Rehan

    Indian journal of orthopaedics

    2021  Volume 56, Issue 4, Page(s) 566–572

    Language English
    Publishing date 2021-11-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.1007/s43465-021-00558-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review.

    Chatterji, Gautam / Patel, Yogesh / Jain, Vaibhav / Geevarughese, Nikku Mathew / Haq, Rehan Ul

    Indian journal of orthopaedics

    2021  Volume 55, Issue 4, Page(s) 839–852

    Abstract: Introduction: The COVID-19 pandemic has led to a large body of literature regarding the impact of COVID-19 on orthopaedic care and practice. This rapid review aims to synthesize this published literature to give the orthopaedic fraternity an overview ... ...

    Abstract Introduction: The COVID-19 pandemic has led to a large body of literature regarding the impact of COVID-19 on orthopaedic care and practice. This rapid review aims to synthesize this published literature to give the orthopaedic fraternity an overview about the best practices that need to be followed during this period.
    Methodology: A rapid review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement for rapid reviews on the impact of COVID-19 on orthopaedic care and practice. A Pubmed search was done to identify all literature related to the impact of COVID-19 on orthopaedic care and practice, published between December 2019 and October 2020 using a predefined search strategy. The final review included 375 peer-reviewed articles addressing the objectives.
    Results: The majority of articles were expert opinions ( 37.1%) and narrative reviews (13.1%). There were 17.3% retrospective studies and 2.1% prospective studies with only one randomized control trial and ten systematic reviews.  83.8% of articles had levels of evidence IV and V, 79.5% of the articles were published in core-orthopaedic journals. Maximum publications were from the United States of America (31.7%), followed by India (11.5%). European countries together contributed to  32.0% of all publications.
    Conclusion: COVID-19 has had a significant impact on all aspects of orthopaedic care and practice. The pandemic has affected outpatient clinics, emergency and elective surgery, rehabilitation, resident training, personnel management, use of personal protective equipment, telemedicine and all sub-specialities of orthopaedics. Orthopaedic practice will require the incorporation of new technologies, restructuring of health systems and reorganizing of training programs for optimal patient care. There would also be a need for frequent review of emerging literature to provide evidence-based guidelines to the orthopaedic fraternity which will not only help in mitigation of transmission of disease but also ensure continuity of optimum patient care.
    Supplementary information: The online version contains supplementary material available at 10.1007/s43465-021-00354-0.
    Language English
    Publishing date 2021-03-20
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.1007/s43465-021-00354-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Aerosol generating procedures in orthopaedics and recommended protective gear

    Geevarughese, Nikku Mathew / Ul-Haq, Rehan

    Abstract: The prime of COVID-19 forced institutions and hospitals to convert operating rooms into intensive care units. Now as the disease prevalence drops and plateaus in several countries, elective surgeries are being slowly resuming. Such that asymptomatic ... ...

    Abstract The prime of COVID-19 forced institutions and hospitals to convert operating rooms into intensive care units. Now as the disease prevalence drops and plateaus in several countries, elective surgeries are being slowly resuming. Such that asymptomatic carriers too would approach hospitals for surgical needs. Coronaviruses are understood to transmit both by droplets and aerosols. Orthopaedic surgery requires regular use of high-speed instruments like power drills, oscillating saws and burrs. Several medical procedures are known to create aerosols thereby exposing the surgeon to contract the virus. Adequate know-how and protective means are mandatory to safeguard the surgical team from inevitable exposure.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #728661
    Database COVID19

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  7. Article ; Online: Body-mass index COVID-19 severity

    Manoj Nagar / Nikku Mathew Geevarughese / Rakesh Mishra / Ankur Joshi / Sagar Galwankar / Md Yunus / Sanjeev Bhoi / Tej P Sinha / Amit Agrawal

    Journal of Family Medicine and Primary Care, Vol 11, Iss 9, Pp 5351-

    A systematic review of systematic reviews

    2022  Volume 5360

    Abstract: Objectives: Conflicting studies have resulted in several systematic reviews and meta-analyses on the relationship between COVID-19 and body mass index (BMI). Methods: This systematic review of systematic reviews followed an umbrella review design, and ... ...

    Abstract Objectives: Conflicting studies have resulted in several systematic reviews and meta-analyses on the relationship between COVID-19 and body mass index (BMI). Methods: This systematic review of systematic reviews followed an umbrella review design, and preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines; Medical literature analysis and retrieval system online (MEDLINE) and SCOPUS databases were searched for systematic reviews on the topic. A predefined screening and selection procedure was done for the retrieved results based on the population, intervention/interest, comparator, outcome, study (PICOS) framework. Results: The search strategy yielded 6334 citations. With the predefined selection and screening process, 23 systematic reviews were retrieved for inclusion in the present study. Twenty-three (n = 23) systematic reviews met the inclusion criteria. As expected, there was overlap across the reviews in the included primary studies. Available evidence suggests that Class III obesity (morbid obesity) is strongly associated with increased mortality risk in patients with Covid-19. It is difficult to draw a firm conclusion about Class I and Class II obesity due to conflicting outcomes of metanalyses. Increased obesity was consistently associated with increased risk of invasive mechanical ventilation (IMV) in all the reviews with low to moderate heterogeneity. Conclusions: Available evidence suggests that Class III obesity (morbid obesity) is strongly associated with increased mortality risk in patients with Covid-19. Increased BMI is positively associated with the risk of IMV and the severity of COVID- care.
    Keywords body mass index ; covid-19 ; obesity ; sars-cov-2 ; systematic reviews ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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