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  1. Article ; Online: Losing the numbers game: revisiting quality metrics through the spectrum of Goodhart's law.

    Lamba, Ishan

    European journal of emergency medicine : official journal of the European Society for Emergency Medicine

    2021  Volume 28, Issue 3, Page(s) 176–177

    MeSH term(s) Benchmarking ; Humans
    Language English
    Publishing date 2021-04-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 1233544-7
    ISSN 1473-5695 ; 0969-9546
    ISSN (online) 1473-5695
    ISSN 0969-9546
    DOI 10.1097/MEJ.0000000000000825
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Panic of pandemic proportions

    Ishan Lamba

    Medical Journal of Dr. D.Y. Patil Vidyapeeth, Vol 14, Iss 3, Pp 251-

    Medicine to makeshift miracles

    2021  Volume 252

    Keywords Medicine ; R
    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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  3. Article ; Online: Why India needs to extend the nationwide lockdown.

    Lamba, Ishan

    The American journal of emergency medicine

    2020  Volume 38, Issue 7, Page(s) 1528–1529

    MeSH term(s) Betacoronavirus ; COVID-19 ; Communicable Disease Control ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Humans ; India/epidemiology ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Population Density ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-15
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.04.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Fear and uncertainty around the Lancet's editorial

    Ishan Lamba

    Medical Journal of Dr. D.Y. Patil Vidyapeeth, Vol 12, Iss 5, Pp 383-

    2019  Volume 384

    Keywords Medicine ; R
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Utility of cinema in medical pedagogy: a novel ideology based on a case study of “apocalypse now”

    Lamba, Ishan

    International Journal of Ethics Education

    Abstract: The advent of the internet age has impacted every sphere of modern medicine, including medical education. The new generation of trainees require novel approaches to teaching to make the requisite impacts on their minds. Conventional classroom teaching ... ...

    Abstract The advent of the internet age has impacted every sphere of modern medicine, including medical education. The new generation of trainees require novel approaches to teaching to make the requisite impacts on their minds. Conventional classroom teaching might be considered obsolete by some, especially when the subject being talked about is ethics and philosophy of medicine. An untapped resource for the teachers lies perhaps in the colossal reserve of decades of cinema. This novel concept of using movies to teach is enumerated in this article by using the 1979 film “Apocalypse Now” to draw parallels between the situations occurring in the film with the ethical dilemmas that a clinician might face or philosophies that may be of utility to a physician. This article presents a conceptual framework of this ideology by exploring a film that might be considered by some to have no correlation with the queries that a medical mind might have while proving that it might not be the content of the film but the viewpoint of the teacher/trainee that may define the interpretations that may be drawn from it. Soldiers and doctors both work in a strict structure of hierarchy and are both put in situations where ethical dilemmas have life and death implications. This core philosophy has served as an inspiration for this article.
    Keywords covid19
    Publisher PMC
    Document type Article ; Online
    DOI 10.1007/s40889-020-00098-9
    Database COVID19

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  7. Article ; Online: Deconstructing structural racism and structural capitalism in academic publishing

    Ishan Lamba / Varsha Shinde / Zahid Shaikh / Sumalya Tripathi / Vishal Bhatt

    Medical Journal of Dr. D.Y. Patil Vidyapeeth, Vol 15, Iss 1, Pp 3-

    2022  Volume 5

    Keywords Medicine ; R
    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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  8. Article ; Online: Using Canadian CT head rule in a developing nation: Validation and comparing utilisation by emergency physicians and neurosurgeons.

    Lamba, Ishan / Luthra, Avinav / Shinde, Varsha / Daniel, S S

    The American journal of emergency medicine

    2021  Volume 45, Page(s) 112–116

    Abstract: Objective: The objective of this study was to test the validity of the Canadian CT Head rule (CCHR) in cases of minor traumatic brain injury (TBI) in an Indian emergency department (ED). A secondary objective was to compare of the patterns of ... ...

    Abstract Objective: The objective of this study was to test the validity of the Canadian CT Head rule (CCHR) in cases of minor traumatic brain injury (TBI) in an Indian emergency department (ED). A secondary objective was to compare of the patterns of neuroradiology references between the emergency physician (EP) and the neurosurgeon.
    Methods: The study was prospectively conducted between July 2019 and July 2020. Patients satisfying the inclusion criteria were subjected to CCHR and the result was documented. The neurosurgeon was consulted for the final decision. In case of disagreement between the neurosurgeon and the EP, the decision of neuro-radiology was taken by the neurosurgeon.
    Results: A total of 101 patients satisfied the inclusion criteria. 62 subjects fulfilled the CCHR. Out of 62 subjects who fulfilled the CCHR criteria, 46 (74.1%) were reported to have normal CT scans, while 16 had either haemorrhages (n = 12) or contusions (n = 4). All the subjects who didn't fulfil the CCHR (n = 39), were reported to have normal CT scans. The EPs used CCHR in all cases of mild TBI while the neurosurgeons chose to get CT brains in all the subjects based of clinical gestalt. CCHR had an observed sensitivity of 100% and specificity of 45.8%.
    Conclusion: The CCHR has 100% sensitivity as a screening tool for patients requiring CT brains in case of TBI though the specificity is found to be rather low (45.8%). EPs show a higher level of awareness and inclination to use CDRs in cases of minor TBI to direct the decision for neuro-radiology, in comparison to neurosurgeons. ED residents reported comfort in mobile application based usage of the rule.
    MeSH term(s) Adult ; Brain Concussion/diagnostic imaging ; Decision Support Systems, Clinical ; Developing Countries ; Emergency Service, Hospital ; Female ; Humans ; India ; Male ; Neuroimaging ; Prospective Studies ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; Unnecessary Procedures
    Language English
    Publishing date 2021-03-01
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Observational Study ; Validation Study
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.02.064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2005: Show issues Location:
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  9. Article ; Online: Impact of COVID-19 lockdown on self-harm and violence among patients presenting to the emergency department.

    Bhattaram, Suhrith / Shinde, Varsha S / Lamba, Ishan / Gladwin, Rebecca S / Sharma, Kadainti Venkata Subbaraya

    The American journal of emergency medicine

    2021  Volume 51, Page(s) 262–266

    Abstract: Importance: Considering the resurgence of COVID19 and the rapid spread of new and deadlier strains across the globe understanding the incidence and pattern of violence and self harm tendencies during this period might help in formulating better ... ...

    Abstract Importance: Considering the resurgence of COVID19 and the rapid spread of new and deadlier strains across the globe understanding the incidence and pattern of violence and self harm tendencies during this period might help in formulating better contingency plans for future lockdowns. A deeper look at the available data shows that there is a significant dearth of research into self-harm & violence during the COVID-19 pandemic.
    Objective: To identify the incidence and sociodemographic characteristics of self-harm and violence during the COVID19 lockdown and compare with a control group from the previous year.
    Design: A cross-sectional retrospective observational study.
    Setting: Tertiary care teaching hospital.
    Participants: All patients presenting to the emergency department (ED) with self harm and violence during the COVID-19 lockdown period between March 24-June 30, 2020 and March 24-June 30, 2019.
    Exposure: The COVID-19 lockdown period.
    Main outcome (s) and measure (s): The hypothesis being tested was formulated before the study. The null hypothesis tested was a decline in number of self-harm and violence cases during the lockdown.
    Results: A total of 828 patients were analysed over both the time periods, out of which 30% (248) were females while 70% (580) were males. Increases in self-harm and violence were 12.71% and 95.32% respectively per 1000 ED admissions. A significant correlation was found between the COVID-19 lockdown and the increased incidence (X2 (1, N = 828) = 9.2, p < .05). An increase of violence by known individuals and between partners was seen. Intimate partner violence also increased to 7%. X2 (3, N = 662) = 21.03, p < .05. In the self harm dataset an increase in mortality, ICU admissions and decision to leave against medical advice was noted (X2 (4, N = 166) = 24.49, p < .05). Increase in the use of alcohol prior to acts of self harm and violence was noted.
    Conclusions: Increase in the incidence of cases of self-harm and violence reported to the ED was noted during the lockdown period. Upgradation of health-care and law enforcement infrastructure maybe needed to deal with similar circumstances in a more efficient manner.
    Trial registration: N/A.
    MeSH term(s) Adult ; COVID-19/epidemiology ; Communicable Disease Control ; Cross-Sectional Studies ; Emergency Service, Hospital/statistics & numerical data ; Female ; Hospitalization ; Humans ; Incidence ; India/epidemiology ; Intimate Partner Violence ; Male ; Middle Aged ; Pandemics ; Retrospective Studies ; Self-Injurious Behavior/epidemiology ; Violence/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2021-11-08
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2021.11.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Identifying Causative Microorganisms in Left Ventricular Assist Device Infections as a Guide for Developing Bacteriophage Therapy.

    Kamat, Ishan / Lamba, Harveen / Hines-Munson, Casey / Hudson, Samuel / Liao, Kenneth / Muldrew, Kenneth L / Green, Sabrina / Terwilliger, Austen / Kaplan, Heidi B / Ramig, Robert F / Maresso, Anthony / Trautner, Barbara W

    The Journal of surgical research

    2021  Volume 271, Page(s) 73–81

    Abstract: Background: As more left ventricular-assist devices (LVADs) are implanted, multidrug-resistant LVAD infections are becoming increasingly common, partly due to bacterial biofilm production. To aid in developing bacteriophage therapy for LVAD infections, ... ...

    Abstract Background: As more left ventricular-assist devices (LVADs) are implanted, multidrug-resistant LVAD infections are becoming increasingly common, partly due to bacterial biofilm production. To aid in developing bacteriophage therapy for LVAD infections, we have identified the most common bacterial pathogens that cause LVAD driveline infections (DLIs) in our heart transplant referral center.
    Materials and methods: We studied a retrospective cohort of patients who received LVADs from November 2003 to August 2017 to identify the common causative organisms of LVAD infection. We also studied a prospective cohort of patients diagnosed with DLIs from October 2018 to May 2019 to collect bacterial strains from DLIs for developing bacteriophages to lyse causative pathogens. LVAD infections were classified as DLI, bacteremia, and pump/device infections in the retrospective cohort.
    Results: In the retrospective cohort of 582 patients, 186 (32.0%) developed an LVAD infection, with 372 microbial isolates identified. In the prospective cohort, 96 bacterial strains were isolated from 54 DLIs. The microorganisms causing DLIs were similar in the two cohorts; the most common isolate was Staphylococcus aureus. We identified 6 prospective S. aureus strains capable of biofilm formation. We developed 3 bacteriophages that were able to lyse 5 of 6 of the biofilm-forming S. aureus strains.
    Conclusions: Similar pathogens caused LVAD DLIs in our retrospective and prospective cohorts, indicating our bacterial strain bank will be representative of future DLIs. Our banked bacterial strains will be useful in developing phage cocktails that can lyse ≥80% of the bacteria causing LVAD infections at our institution.
    MeSH term(s) Heart Failure/complications ; Heart-Assist Devices/adverse effects ; Humans ; Phage Therapy/adverse effects ; Prospective Studies ; Prosthesis-Related Infections/etiology ; Prosthesis-Related Infections/therapy ; Retrospective Studies ; Staphylococcus aureus
    Language English
    Publishing date 2021-11-27
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2021.10.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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