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Article ; Online: Highs and lows of being a urologist: A perspective.

Talwar, Harkirat Singh / Narain, Tushar Aditya

2021 Volume 97, Issue 1153, Page(s) 681–682

MeSH term(s)	Humans ; Urologists
Language	English
Publishing date	2021-03-09
Publishing country	England
Document type	Editorial
ZDB-ID	80325-x
ISSN	1469-0756 ; 0032-5473
ISSN (online)	1469-0756
ISSN	0032-5473
DOI	10.1136/postgradmedj-2020-139627
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Beyond Prostate Specific Antigen

Tushar Aditya Narain / Prasanna Sooriakumaran

The World Journal of Men's Health, Vol 40, Iss 1, Pp 66-

New Prostate Cancer Screening Options

2022 Volume 73

Abstract: Prostate specific antigen (PSA) is one of the best-known biomarkers for screening, diagnosis and follow-up of patients for prostate cancer. Owing to several inherent limitations with PSA, various newer blood and urinary based biomarkers have been ... ...

Abstract	Prostate specific antigen (PSA) is one of the best-known biomarkers for screening, diagnosis and follow-up of patients for prostate cancer. Owing to several inherent limitations with PSA, various newer blood and urinary based biomarkers have been evaluated in pursuit of better detection and risk stratification of prostate cancer cases. A combination of these different markers, in adjunct with clinical risk factors, and recent advances in imaging promises to offer better diagnostic performance with clearer risk stratification guiding therapeutics. We carried out an extensive literature search for the different biomarkers available for screening and diagnosis of prostate cancer, compared their performance with serum PSA to allow clinicians to draw meaningful conclusions to offer their patients a more personalized medical care.
Keywords	biomarkers ; prostate cancer ; prostate specific antigen ; screening ; Medicine ; R ; Diseases of the genitourinary system. Urology ; RC870-923
Subject code	610
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Korean Society for Sexual Medicine and Andrology
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: COVID-19: an ethical predicament and the dichotomy of society.

Talwar, Harkirat Singh / Narain, Tushar Aditya

Postgraduate medical journal

2021 Volume 97, Issue 1148, Page(s) 343–344

MeSH term(s)	COVID-19 ; Health Personnel ; Humans ; Moral Obligations ; Physicians ; SARS-CoV-2 ; Social Discrimination
Language	English
Publishing date	2021-01-15
Publishing country	England
Document type	Editorial
ZDB-ID	80325-x
ISSN	1469-0756 ; 0032-5473
ISSN (online)	1469-0756
ISSN	0032-5473
DOI	10.1136/postgradmedj-2020-139537
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Beyond Prostate Specific Antigen: New Prostate Cancer Screening Options.

Narain, Tushar Aditya / Sooriakumaran, Prasanna

The world journal of men's health

2021 Volume 40, Issue 1, Page(s) 66–73

Abstract	Prostate specific antigen (PSA) is one of the best-known biomarkers for screening, diagnosis and follow-up of patients for prostate cancer. Owing to several inherent limitations with PSA, various newer blood and urinary based biomarkers have been evaluated in pursuit of better detection and risk stratification of prostate cancer cases. A combination of these different markers, in adjunct with clinical risk factors, and recent advances in imaging promises to offer better diagnostic performance with clearer risk stratification guiding therapeutics. We carried out an extensive literature search for the different biomarkers available for screening and diagnosis of prostate cancer, compared their performance with serum PSA to allow clinicians to draw meaningful conclusions to offer their patients a more personalized medical care.
Language	English
Publishing date	2021-11-25
Publishing country	Korea (South)
Document type	Journal Article ; Review
ZDB-ID	2719786-4
ISSN	2287-4690 ; 2287-4208
ISSN (online)	2287-4690
ISSN	2287-4208
DOI	10.5534/wjmh.210076
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Hatching

Singh, Vanya / Pratap Mathuria, Yogendra / Gupta, Pratima / Narain, Tushar Aditya

BMJ case reports

2020 Volume 13, Issue 10

MeSH term(s)	Animals ; Humans ; Lung Diseases, Parasitic/diagnosis ; Male ; Middle Aged ; Strongyloides stercoralis/isolation & purification ; Strongyloidiasis/diagnosis
Language	English
Publishing date	2020-10-29
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2020-238862
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Female counterpart of the Zinner syndrome in men: decoding the 'OHVIRA' syndrome.

Panwar, Vikas Kumar / Narain, Tushar Aditya / Mittal, Ankur / Talwar, Harkirat Singh

BMJ case reports

2021 Volume 14, Issue 2

Abstract: The obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome, a rare Mullerian duct anomaly, is a triad of uterine anomalies with ipsilateral renal agenesis and obstructed hemivagina. The aetiopathogenesis of this developmental anomaly is ... ...

Abstract	The obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome, a rare Mullerian duct anomaly, is a triad of uterine anomalies with ipsilateral renal agenesis and obstructed hemivagina. The aetiopathogenesis of this developmental anomaly is debatable, with several theories being postulated to explain its occurrence. We report two cases of this rare syndrome which were detected on imaging done for unrelated reasons. Case 1 is a 24-year-old woman who presented with primary infertility. After an incidental detection of the syndrome and ruling out a male factor, she has been planned for excision of the vaginal septum. Case 2 is a 47-year-old woman with OHVIRA detected during the evaluation of urolithiasis and is asymptomatic for the syndrome. The OHVIRA syndrome can be asymptomatic or may present as haematocolpos, pelvic pain and infertility which requires surgical intervention, after which successful pregnancies have been reported.
MeSH term(s)	Adult ; Female ; Humans ; Middle Aged ; Mullerian Ducts/physiopathology ; Treatment Outcome ; Urogenital Abnormalities/diagnosis ; Urogenital Abnormalities/surgery ; Vagina/abnormalities ; Vagina/diagnostic imaging ; Vagina/surgery ; Young Adult
Language	English
Publishing date	2021-02-10
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2020-239625
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A wide spectrum of rare clinical variants of Zinner syndrome.

Talwar, Harkirat Singh / Mittal, Ankur / Narain, Tushar Aditya / Panwar, Vikas Kumar

BMJ case reports

2021 Volume 14, Issue 1

Abstract: Congenital malformations of the seminal vesicles (SVs) are rare and are associated with abnormalities of the ipsilateral urinary tracts as embryologically both the ureteral buds and SVs arise from the mesonephric ducts. The triad of SV cysts, ipsilateral ...

Abstract	Congenital malformations of the seminal vesicles (SVs) are rare and are associated with abnormalities of the ipsilateral urinary tracts as embryologically both the ureteral buds and SVs arise from the mesonephric ducts. The triad of SV cysts, ipsilateral renal agenesis and ejaculatory duct obstruction is known as the Zinner syndrome. We, herein, present three very rare presentations of Zinner syndrome. Case 1 presented with haematuria, and was found to have a large SV cyst with stones and underwent a robotic cyst excision. Case 2 presented with primary infertility, and was found to have a variant of Zinner syndrome. Case 3 was a known case of chronic kidney disease on maintenance haemodialysis who presented with fever and oliguria. He was found to have Zinner syndrome and underwent aspiration of SV abscess. To the best of our knowledge, such varying presentations of Zinner syndrome have been rarely reported thus far.
MeSH term(s)	Adult ; Congenital Abnormalities/diagnosis ; Ejaculatory Ducts/abnormalities ; Humans ; Kidney/abnormalities ; Kidney Diseases/complications ; Kidney Diseases/congenital ; Kidney Diseases/diagnosis ; Male ; Middle Aged ; Seminal Vesicles/abnormalities ; Syndrome ; Young Adult
Language	English
Publishing date	2021-01-18
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2020-239254
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Feasibility and usefulness of online virtual training of urology residents in times of COVID-19

Tushar Aditya Narain / Ankur Mittal / Vanya Singh / Vikas Kumar Panwar

Journal of Education and Health Promotion, Vol 10, Iss 1, Pp 116-

A single-center experience and an evidence-based strength, weakness, opportunity, and threat analysis

2021 Volume 116

Abstract: BACKGROUND: The COVID-19 disease has resulted in an almost complete shutdown of all services worldwide. Hospitals continued to provide emergency services and treatment for COVID-19 disease. Teaching hospitals like ours had another responsibility at hand; ...

Abstract	BACKGROUND: The COVID-19 disease has resulted in an almost complete shutdown of all services worldwide. Hospitals continued to provide emergency services and treatment for COVID-19 disease. Teaching hospitals like ours had another responsibility at hand; training of our surgical residents. Not allowing this pandemic to take away months of training, we resorted to online virtual training programs, for continuing academic activities. After having conducted thirty such sessions, we took feedback from the participating students and faculty members to evaluate the usefulness of this new initiative and identify the lacunae that needed to be addressed. MATERIALS AND METHODS: The initial twenty classes were held on the GoTo Meeting ® online platform, whereas the last ten were conducted using the Google Meet application. A 20-item questionnaire covering four broad domains of general perception, feasibility, knowledge gained, and drawbacks was circulated, and 19 responses were registered anonymously. Strength, weakness, opportunity, and threat analysis was done based on the responses received. RESULTS: About 89.5% of the participants believed that online classes were the ideal platform for continuing education and 84.2% of the participants were overall satisfied with the whole exercise. The Achilles' heel was the availability of a good Internet connection, and the major lacunae were the poor quality of video and audio transmission. Seventy-four percent of the participants wanted to continue online training in the future too, whereas 26% wanted to revert to the traditional face-to-face teaching. CONCLUSION: Online virtual training classes are an effective and feasible alternative to traditional teaching in times such as these, which demanded strict social distancing. It naturally lacked the warmth and personal touch of the traditional teaching classes, but it allowed us to continue teaching our residents and also prepare them to face the biggest menace of all times.
Keywords	covid-19 ; online classes ; surgical training ; strength ; weakness ; opportunity ; and threat analysis ; urology training ; virtual training ; Special aspects of education ; LC8-6691 ; Public aspects of medicine ; RA1-1270
Subject code	796
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Feasibility and usefulness of online virtual training of urology residents in times of COVID-19: A single-center experience and an evidence-based strength, weakness, opportunity, and threat analysis.

Narain, Tushar Aditya / Mittal, Ankur / Singh, Vanya / Panwar, Vikas Kumar

Journal of education and health promotion

2021 Volume 10, Page(s) 116

Abstract: Background: The COVID-19 disease has resulted in an almost complete shutdown of all services worldwide. Hospitals continued to provide emergency services and treatment for COVID-19 disease. Teaching hospitals like ours had another responsibility at hand; ...

Abstract	Background: The COVID-19 disease has resulted in an almost complete shutdown of all services worldwide. Hospitals continued to provide emergency services and treatment for COVID-19 disease. Teaching hospitals like ours had another responsibility at hand; training of our surgical residents. Not allowing this pandemic to take away months of training, we resorted to online virtual training programs, for continuing academic activities. After having conducted thirty such sessions, we took feedback from the participating students and faculty members to evaluate the usefulness of this new initiative and identify the lacunae that needed to be addressed. Materials and methods: The initial twenty classes were held on the GoTo Meeting ® online platform, whereas the last ten were conducted using the Google Meet application. A 20-item questionnaire covering four broad domains of general perception, feasibility, knowledge gained, and drawbacks was circulated, and 19 responses were registered anonymously. Strength, weakness, opportunity, and threat analysis was done based on the responses received. Results: About 89.5% of the participants believed that online classes were the ideal platform for continuing education and 84.2% of the participants were overall satisfied with the whole exercise. The Achilles' heel was the availability of a good Internet connection, and the major lacunae were the poor quality of video and audio transmission. Seventy-four percent of the participants wanted to continue online training in the future too, whereas 26% wanted to revert to the traditional face-to-face teaching. Conclusion: Online virtual training classes are an effective and feasible alternative to traditional teaching in times such as these, which demanded strict social distancing. It naturally lacked the warmth and personal touch of the traditional teaching classes, but it allowed us to continue teaching our residents and also prepare them to face the biggest menace of all times.
Language	English
Publishing date	2021-03-31
Publishing country	India
Document type	Journal Article
ZDB-ID	2715449-X
ISSN	2319-6440 ; 2277-9531
ISSN (online)	2319-6440
ISSN	2277-9531
DOI	10.4103/jehp.jehp_769_20
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Role of positron emission tomography/computed tomography in the evaluation of renal cell carcinoma.

Jena, Rahul / Narain, Tushar Aditya / Singh, Uday Pratap / Srivastava, Aneesh

Indian journal of urology : IJU : journal of the Urological Society of India

2021 Volume 37, Issue 2, Page(s) 125–132

Abstract: Introduction: Positron emission tomography (PET) is not a standard recommendation in most of the major guidelines for the evaluation of renal cell carcinoma (RCC). Earlier studies evaluating PET scan in patients with RCC have provided discordant results. ...

Abstract	Introduction: Positron emission tomography (PET) is not a standard recommendation in most of the major guidelines for the evaluation of renal cell carcinoma (RCC). Earlier studies evaluating PET scan in patients with RCC have provided discordant results. However, with the advent of newer hybrid PET/computed tomography (CT) scanning systems, this modality has shown increased efficacy in the evaluation of primary renal masses along with the detection of extrarenal metastases, restaging recurrent RCC, and also in monitoring response to targeted therapy. We performed a systematic review of the existing literature on the role of PET scan in the evaluation of RCC. Methodology: We systematically searched the databases of PubMed/Medline, Embase, and Google Scholar to identify studies on the use of PET scan in RCC. Using Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines, 94 full-text articles were selected, of which 54 relevant articles were then reviewed, after a consensus by the authors. Results: Several studies have shown similar sensitivity and specificity of fluoro-2-deoxy-2-d-glucose-PET (FDG-PET) scan as compared to conventional CT scan for the initial diagnosis of RCC, and an improved sensitivity and specificity for the detection of metastases and recurrences following curative therapy. The PET scan may also play a role in predicting the initial tumor biology and pathology and predicting the prognosis as well as the response to therapy. Conclusion: The current guidelines do not recommend PET scan in the staging armamentarium of RCCs. However, FDG-PET scan is as efficacious, if not better than conventional imaging alone, in the evaluation of the primary and metastatic RCC, as well as in evaluating the response to therapy, due to its ability to pick up areas of increased metabolic activity early on. Newer tracers such as
Language	English
Publishing date	2021-04-01
Publishing country	India
Document type	Journal Article ; Review
ZDB-ID	639268-4
ISSN	1998-3824 ; 0970-1591
ISSN (online)	1998-3824
ISSN	0970-1591
DOI	10.4103/iju.IJU_268_20
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