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  1. Article ; Online: Indiscriminate use of CT chest imaging during the COVID-19 pandemic.

    Khashoo, R / Vimalesvaran, S / Tewari, D / Khashu, S / Khashu, M

    Clinical radiology

    2022  Volume 77, Issue 4, Page(s) 316–317

    MeSH term(s) COVID-19 ; Humans ; Pandemics ; SARS-CoV-2 ; Thorax ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2022-01-31
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2021.12.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Uncontrolled hypertension in a rural population of Jammu and Kashmir.

    Arambam, Priyadarshini / Khashoo, Rishabh / Tewari, Dhruv / Saleem, Zubair / Shekhawat, Sudhir / Kaul, Upendra

    Indian heart journal

    2022  

    Abstract: Aim: Evaluation of the status of uncontrolled hypertension in diagnosed hypertensives who had been advised drug treatment in the rural areas of 6 districts in Jammu & Kashmir (J&K) and also the risk factors associated with it.: Methods: The study was ...

    Abstract Aim: Evaluation of the status of uncontrolled hypertension in diagnosed hypertensives who had been advised drug treatment in the rural areas of 6 districts in Jammu & Kashmir (J&K) and also the risk factors associated with it.
    Methods: The study was a cross-sectional observational study conducted between August 2020 to July 2021 in the form of health camps in six government health centres in 6 different rural districts. The camps were focussed on patients with hypertension, diabetes with or without heart disease. The areas included Machil in Kupwara, Khan Sahib in Budgam, Rajpora and Hawal in Pulwama, Rainawari in the Srinagar, Banihal in Ramban, and Jagti in Jammu. Enrolled patients were examined for body weight, blood pressure (BP), random blood sugar and serum lipid profile. The definition of hypertension was as per the eighth Joint National Committee (JNC-8) guidelines.
    Results: A total of 600 patients (50.1% males) were evaluated. Of these 335 (55%) had history of being diagnosed hypertension and had been recommended drugs for BP control Male: Female ratio 1:0.8.211(63.5%) of these had un controlled blood pressures on measurement. Two or more drugs had been prescribed in 65 (30.8%) patients, 34 (16%) were taking only single drug and 112(53%) were not on any drug. Uncontrolled hypertension was seen more often in age group of 40-60 years (49%), subjects more than 60 years had it in 40%. The comparison of risk factors between patients with diagnosed hypertension with those without it revealed use of tobacco, consumption of salted tea, presence of diabetes, dyslipidaemia as significant factors for the presence of uncontrolled hypertension.
    Conclusion: Uncontrolled hypertension in known patients prescribed drugs is highly prevalent in the rural population of J&K. Steps to mitigate this problem are needed on top priority.
    Language English
    Publishing date 2022-11-30
    Publishing country India
    Document type Journal Article
    ZDB-ID 604366-5
    ISSN 2213-3763 ; 0019-4832
    ISSN (online) 2213-3763
    ISSN 0019-4832
    DOI 10.1016/j.ihj.2022.11.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effect of Delayed Umbilical Cord Clamping on Hemodynamic Instability in Preterm Neonates below 35 Weeks.

    Tewari, Vishal Vishnu / Saurabh, Sumeet / Tewari, Dhruv / Gaurav, Kumar / Kunwar, Bishwo Raj Bahadur / Khashoo, Rishabh / Tiwari, Neha / Yadav, Lakshmi / Bharti, Urmila / Vardhan, Shakti

    Journal of tropical pediatrics

    2022  Volume 68, Issue 3

    Abstract: Introduction: Delaying umbilical cord clamping facilitates postnatal transition in neonates but evidence on its effect in reducing hemodynamic instability in preterm neonates is inconclusive.: Aims: To evaluate delayed cord clamping (DCC) in reducing ...

    Abstract Introduction: Delaying umbilical cord clamping facilitates postnatal transition in neonates but evidence on its effect in reducing hemodynamic instability in preterm neonates is inconclusive.
    Aims: To evaluate delayed cord clamping (DCC) in reducing the incidence of hemodynamic instability in preterm neonates below 35 weeks gestational age admitted to the neonatal intensive care unit.
    Methods: Neonates between 25 weeks and 34 weeks and 6 days gestation were enrolled. Hemodynamic and respiratory parameters were monitored over 48 h. Hemodynamic instability was defined as persistent tachycardia and/or hypotension necessitating therapy.
    Results: The DCC cohort included 62 neonates with an equal number in the non-DCC group. The birth weight [mean ± standard deviation (SD)] was 1332.90 ± 390.05 g and the gestational age (mean ± SD) was 31.64 ± 2.52 weeks. Hemodynamic instability was noted in 18/62 (29%) neonates in the DCC cohort and 29/62 (46.7%) in the non-DCC group; relative risk (RR) 0.62 [95% confidence interval (CI) 0.38-0.99] (p = 0.023). The duration of inotrope requirement in the DCC cohort (mean ± SD) was 38.38 ± 16.99 h compared to 49.13 ± 22.90 h in the non-DCC cohort (p = 0.090). Significantly higher systolic, diastolic and mean arterial pressures were noted from 6 h to 48 h in the DCC cohort (p < 0.001). The severity of respiratory distress and FiO2 requirement was also less in the first 24 h. There was no difference in the incidence of patent ductus arteriosus, late-onset sepsis or mortality.
    Conclusion: Delaying umbilical cord clamping at birth by 60 s resulted in significantly lower hemodynamic instability in the first 48 h and higher blood pressure parameters.
    MeSH term(s) Constriction ; Delivery, Obstetric/methods ; Female ; Hemodynamics ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Pregnancy ; Umbilical Cord ; Umbilical Cord Clamping
    Language English
    Publishing date 2022-05-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 800065-7
    ISSN 1465-3664 ; 0449-3281 ; 0142-6338
    ISSN (online) 1465-3664
    ISSN 0449-3281 ; 0142-6338
    DOI 10.1093/tropej/fmac035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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