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  1. Article: Production of progeny tested Mili/Ravi buffalo bulls

    Shah, S.K / McDowell, R.E

    Pakistan veterinary journal. Oct 1981. v. 1 (4)

    1981  

    Title variant Production of progeny tested Mili/Ravi buffalo bulls [Pakistan].
    Keywords Pakistan
    Language English
    Dates of publication 1981-10
    Size p. 175-176.
    Document type Article
    Database NAL-Catalogue (AGRICOLA)

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  2. Article: Personalized Approach to Chronic Antibiotic-Refractory Pouchitis: A Case Report and Review of the Literature.

    Shah, Mili / Masson, Aarshdeep / Moparty, Hamsika / Gala, Dhir / Kumar, Vikash

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53398

    Abstract: Patients who undergo restorative proctocolectomy and ileoanal anastomosis can develop pouchitis as a common chronic complication. A rare subset of patients fails to respond to multiple antibiotic therapies and develop chronic antibiotic-refractory ... ...

    Abstract Patients who undergo restorative proctocolectomy and ileoanal anastomosis can develop pouchitis as a common chronic complication. A rare subset of patients fails to respond to multiple antibiotic therapies and develop chronic antibiotic-refractory pouchitis (CARP). We present a case of a 45-year-old male with pouchitis refractory to chronic antibiotic therapy and histology demonstrating chronic inflammatory changes. Management involved mesalamine and probiotics, resulting in a positive clinical response and symptom absence on follow-up. This case highlights the intricacies of treating chronic pouchitis post ileoanal anastomosis, showcasing the efficacy of a personalized approach using mesalamine and probiotics. CARP is emerging as an entity associated with poor quality of life and increased healthcare costs. CARP fails to respond to multiple courses of antibiotic therapy. Therefore, the management of CARP is difficult and limited. Current literature on the management of CARP is scarce and mainly involves immunomodulatory therapy and probiotics. It is essential to keep this differential diagnosis in mind in patients with recurrent pouchitis episodes and start them on immunomodulator treatment and probiotics rather than repeated courses of antibiotics.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53398
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Role of Artificial Intelligence in Improving Patient Outcomes and Future of Healthcare Delivery in Cardiology: A Narrative Review of the Literature.

    Gala, Dhir / Behl, Haditya / Shah, Mili / Makaryus, Amgad N

    Healthcare (Basel, Switzerland)

    2024  Volume 12, Issue 4

    Abstract: Cardiovascular diseases exert a significant burden on the healthcare system worldwide. This narrative literature review discusses the role of artificial intelligence (AI) in the field of cardiology. AI has the potential to assist healthcare professionals ...

    Abstract Cardiovascular diseases exert a significant burden on the healthcare system worldwide. This narrative literature review discusses the role of artificial intelligence (AI) in the field of cardiology. AI has the potential to assist healthcare professionals in several ways, such as diagnosing pathologies, guiding treatments, and monitoring patients, which can lead to improved patient outcomes and a more efficient healthcare system. Moreover, clinical decision support systems in cardiology have improved significantly over the past decade. The addition of AI to these clinical decision support systems can improve patient outcomes by processing large amounts of data, identifying subtle associations, and providing a timely, evidence-based recommendation to healthcare professionals. Lastly, the application of AI allows for personalized care by utilizing predictive models and generating patient-specific treatment plans. However, there are several challenges associated with the use of AI in healthcare. The application of AI in healthcare comes with significant cost and ethical considerations. Despite these challenges, AI will be an integral part of healthcare delivery in the near future, leading to personalized patient care, improved physician efficiency, and anticipated better outcomes.
    Language English
    Publishing date 2024-02-16
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare12040481
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A Case of Non-cirrhotic Portal Hypertension With Antiphospholipid Syndrome.

    Shah, Mili / Gill, Razia / Hotwani, Priya / Moparty, Hamsika / Kumar, Naresh / Gala, Dhir / Kumar, Vikash

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53843

    Abstract: Nodular regenerative hyperplasia (NRH) and obliterative portal venopathy (OPV) are two causes of non-cirrhotic portal hypertension (NCPH), which is a vascular liver disease wherein clinical signs of portal hypertension (PHT), such as esophageal varices, ... ...

    Abstract Nodular regenerative hyperplasia (NRH) and obliterative portal venopathy (OPV) are two causes of non-cirrhotic portal hypertension (NCPH), which is a vascular liver disease wherein clinical signs of portal hypertension (PHT), such as esophageal varices, ascites, and splenomegaly develop in the absence of cirrhosis and portal vein thrombosis. The etiology often remains unidentified, but herein we present the case of a 56-year-old male with NCPH and refractory ascites who underwent liver biopsy confirming NRH and OPV. Etiological workup revealed beta-2 glycoprotein-1 and anticardiolipin antibodies, concerning antiphospholipid syndrome (APS) despite no prior history of thrombosis. The patient underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure for his refractory ascites and was started on prophylactic anticoagulation owing to a concern for APS with clinical improvement in his ascites and shortness of breath. Pursuing TIPS earlier in the setting of refractory ascites, as well as offering anticoagulation therapy for patients with possible APS to prevent the development of potential thromboses, could be appropriate recommendations to prevent complications in the disease course. This case report highlights the need for further investigations on the etiologies, diagnosis pathways, and treatment options for NCPH.
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53843
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Idiosyncratic Drug-Induced Liver Injury Secondary to Trimethoprim-Sulfamethoxazole.

    Sharma, Bashar / Antoine, Marsha / Shah, Mili / John, Savio

    American journal of therapeutics

    2021  Volume 27, Issue 6, Page(s) e664–e667

    MeSH term(s) Chemical and Drug Induced Liver Injury/diagnosis ; Chemical and Drug Induced Liver Injury/etiology ; Drug Combinations ; Humans ; Trimethoprim ; Trimethoprim, Sulfamethoxazole Drug Combination/adverse effects
    Chemical Substances Drug Combinations ; Trimethoprim, Sulfamethoxazole Drug Combination (8064-90-2) ; Trimethoprim (AN164J8Y0X)
    Language English
    Publishing date 2021-01-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1280786-2
    ISSN 1536-3686 ; 1075-2765
    ISSN (online) 1536-3686
    ISSN 1075-2765
    DOI 10.1097/MJT.0000000000001032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: An Unusual Case of Drug-Induced Liver Injury Secondary to Nitrofurantoin Use.

    Wonnacott, Stephen / Gala, Dhir / Shah, Mili / Kaul, Diksha / Kumar, Vikash

    Cureus

    2022  Volume 14, Issue 7, Page(s) e26882

    Abstract: Nitrofurantoin is a commonly prescribed antibiotic for uncomplicated urinary tract infections. Despite a number of side effects, it is increasingly prescribed due to its low cost, high efficacy, and minimal antimicrobial resistance. One of the rare, ... ...

    Abstract Nitrofurantoin is a commonly prescribed antibiotic for uncomplicated urinary tract infections. Despite a number of side effects, it is increasingly prescribed due to its low cost, high efficacy, and minimal antimicrobial resistance. One of the rare, however significant side effects of nitrofurantoin is idiosyncratic drug-induced liver toxicity. It commonly presents with abdominal pain and elevated liver enzymes. Interestingly, it can cause either an acute or a chronic hepatitis-like syndrome that can be severe and lead to liver failure or cirrhosis. We present a case of a healthy 24-year-old female who presented with epigastric abdominal pain, which was found to be drug-induced liver injury (DILI) secondary to her recent nitrofurantoin use.
    Language English
    Publishing date 2022-07-15
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.26882
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Evaluation of volumetric substance loss and precision in targeted endodontic re-treatment with guided versus conventional access cavity preparations: An

    Rohra, Mili Rajkumar / Shah, Purnil Bhupendrakumar / Arora, Ankit Ved / Kapoor, Sonali Vinod / Rana, Hardik Bharatbhai

    Journal of conservative dentistry : JCD

    2023  Volume 26, Issue 2, Page(s) 221–225

    Abstract: Introduction: Root canal retreatment is typically viewed as an "all or nothing" approach. Whether there is periapical pathosis or not, it is advised that all restorative and obturation materials be removed from all roots. Selective root retreatment, a ... ...

    Abstract Introduction: Root canal retreatment is typically viewed as an "all or nothing" approach. Whether there is periapical pathosis or not, it is advised that all restorative and obturation materials be removed from all roots. Selective root retreatment, a new therapeutic strategy, allows retreatment to be restricted to a single root or multiple roots exhibiting periapical pathosis. To address the issues, "guided endodontics," a unique guided technique for the preparation of apically extended access cavities, was introduced.
    Materials and methods: In this
    Results: TER with conventional method showed significantly higher substance loss with
    Conclusion: In comparison to traditional TER, TER using a customized bur and three dimensions (3D)-guide results in much less substance loss. The dentinal loss was much lower in 3D-guided approach.
    Language English
    Publishing date 2023-03-16
    Publishing country India
    Document type Journal Article
    ZDB-ID 2064481-4
    ISSN 0972-0707
    ISSN 0972-0707
    DOI 10.4103/jcd.jcd_618_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Pancreatic Heterotopia at the Gastroesophageal Junction: A Case Report and Review of the Literature.

    Kumar, Vikash / Gala, Dhir / Gustke, Cidney / Shah, Mili / Bandaru, Praneeth / Gayam, Vijay Reddy / Gadaputi, Vinaya / Reddy, Madhavi

    Cureus

    2023  Volume 15, Issue 3, Page(s) e35830

    Abstract: Pancreatic heterotopia is characterized by the presence of pancreatic tissue in a location outside of its typical anatomical position. Symptoms of pancreatic heterotopia vary based on the location of the ectopic tissue. It is commonly asymptomatic and ... ...

    Abstract Pancreatic heterotopia is characterized by the presence of pancreatic tissue in a location outside of its typical anatomical position. Symptoms of pancreatic heterotopia vary based on the location of the ectopic tissue. It is commonly asymptomatic and often diagnosed incidentally during routine endoscopy. Clinically significant pancreatic heterotopia is often secondary to inflammation, bleeding, obstruction, and malignant transformation. The most common location of heterotopic pancreas is within 5 cm of the pylorus usually on the greater curvature. Involvement of the gastroesophageal junction is extremely rare. In this report, we describe the case of a 57-year-old woman who was diagnosed with ectopic pancreatic tissue at the gastroesophageal junction by esophagogastroduodenoscopy after presenting with symptoms of dyspepsia.
    Language English
    Publishing date 2023-03-06
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35830
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Hepatic Dystrophic Calcification Secondary to Transarterial Chemoembolization: Case Report and Review of Literature.

    Kumar, Vikash / Shah, Mili / Gala, Dhir / Singh, Manmeet K / Jeanty, Herby / Thomas, Reeny / Forlemu, Arnold N / Gayam, Vijay Reddy / Etienne, Denzil

    Cureus

    2023  Volume 15, Issue 3, Page(s) e35765

    Abstract: Hepatocellular carcinoma (HCC) is a common malignancy usually treated with surgery. Patients who are not suitable for surgery undergo transarterial chemoembolization (TACE) which involves injecting anti-cancer drugs and embolizing agents into the hepatic ...

    Abstract Hepatocellular carcinoma (HCC) is a common malignancy usually treated with surgery. Patients who are not suitable for surgery undergo transarterial chemoembolization (TACE) which involves injecting anti-cancer drugs and embolizing agents into the hepatic artery. Although it is a relatively safe procedure with minor side effects, TACE can rarely cause dystrophic calcification in the liver. We report a case of a 58-year-old female who presented with right-sided chest pain. The patient had been previously treated for HCC with a TACE procedure. A chest x-ray revealed hepatic calcification which was likely secondary to the prior TACE. This case study emphasizes the significance of considering TACE as a potential cause of hepatic dystrophic calcification.
    Language English
    Publishing date 2023-03-04
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35765
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Outcomes of Portal Vein Thrombosis in Smokers With and Without Cirrhosis and Predictors of Mortality: A Nationwide Assessment.

    Kumar, Vikash / Gala, Dhir / Shah, Mili / Kumar, Naresh / Gayam, Vijay Reddy / Bandaru, Praneeth / Forlemu, Arnold N / Etienne, Denzil / Gadaputi, Vinaya

    Cureus

    2023  Volume 15, Issue 4, Page(s) e37658

    Abstract: Portal vein thrombosis (PVT) is a rare condition that can lead to numerous complications, like variceal bleeding, hepatic encephalopathy, and chronic liver disease. PVT has various etiologies, including liver disease, infections, and hyper-coagulable ... ...

    Abstract Portal vein thrombosis (PVT) is a rare condition that can lead to numerous complications, like variceal bleeding, hepatic encephalopathy, and chronic liver disease. PVT has various etiologies, including liver disease, infections, and hyper-coagulable disorders. Cirrhosis, a chronic progressive liver condition characterized by liver fibrosis, is one of the risk factors for the development of PVT. Secondly, smoking also increases the risk of PVT. The aim of this study is to identify outcomes in patients with PVT who smoked with and without cirrhosis. This study was performed using the National Inpatient Sample (NIS) database for the years 2016, 2017, and 2018. The study identified 33,314 patients diagnosed with PVT who smoked, of which 14,991 had cirrhosis, and 18,323 did not have cirrhosis. Patients with PVT and cirrhosis had significantly higher in-hospital mortality, upper gastrointestinal bleeds, acute kidney injury, and peritonitis compared to patients without cirrhosis. The results of the study show that patients with PVT and cirrhosis who smoke have a higher risk of unfavorable outcomes.
    Language English
    Publishing date 2023-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.37658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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