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  1. Article ; Online: Impact of early initiation of ezetimibe in patients with acute coronary syndrome: A systematic review and meta-analysis.

    Mahajan, Kunal / Nagendra, Lakshmi / Dhall, Anil / Dutta, Deep

    European journal of internal medicine

    2024  

    Abstract: Objective: Scant data is available on the efficacy and safety of adding ezetimibe to high-intensity statin therapy for early and rapid reduction of low-density lipoprotein cholesterol (LDL-C) within 4-12 weeks of an acute-event in acute coronary ... ...

    Abstract Objective: Scant data is available on the efficacy and safety of adding ezetimibe to high-intensity statin therapy for early and rapid reduction of low-density lipoprotein cholesterol (LDL-C) within 4-12 weeks of an acute-event in acute coronary syndrome (ACS). We undertook this meta-analysis to address this knowledge-gap.
    Methods: Electronic databases were searched for RCTs involving patients with ACS receiving ezetimibe in intervention arm, and placebo/active comparator in control arm. Primary outcome was to evaluate changes in LDL-C levels post-ACS. Secondary outcomes were to evaluate alterations in other lipid parameters and adverse events.
    Results: From initially screened 4561 articles, data from 11 studies (20,291 patients) were analyzed. Compared to controls, patients receiving ezetimibe had significantly lower LDL-C at 7-days [MD -19.55 mg/dl(95 %CI:-36.46 to -2.63);P = 0.02;I
    Conclusion: Addition of ezetimibe to high-intensity statin therapy at the time of ACS event is associated with significantly better cholesterol reduction at day-7,1-month, 3- months and 1-year of follow-up, which translates into a significantly lower recurrent cardiovascular events post an index event of ACS.
    Concise summary of findings: Addition of ezetimibe to high-intensity statin therapy at the time of acute coronary syndrome (ACS) index event is associated with significantly better low density lipoprotein cholesterol and total cholesterol reduction at day-7, 1-month, 3-months and 1-year of follow-up, which translates into a significantly lower recurrent cardiovascular events (death from any cause, major ACS, non-fatal stroke, non-fatal myocardial infarction, and ischemic stroke) post an index event of ACS.
    Language English
    Publishing date 2024-02-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1038679-8
    ISSN 1879-0828 ; 0953-6205
    ISSN (online) 1879-0828
    ISSN 0953-6205
    DOI 10.1016/j.ejim.2024.02.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Efficacy and Safety of Ultra-rapid Lispro Insulin in Managing Type-1 and Type-2 Diabetes: A Systematic Review and Meta-Analysis.

    Dutta, Deep / Nagendra, Lakshmi / Bhattacharya, Saptarshi / Sharma, Meha

    Indian journal of endocrinology and metabolism

    2024  Volume 27, Issue 6, Page(s) 467–475

    Abstract: Background: Mechanistically, subcutaneous ultra-rapid lispro (URLi) is faster than lispro. Whether this translates into a better post-prandial glucose (PPG) and glycemic control in type-1 diabetes (T1DM) and type-2 diabetes (T2DM) is unclear. Hence, we ... ...

    Abstract Background: Mechanistically, subcutaneous ultra-rapid lispro (URLi) is faster than lispro. Whether this translates into a better post-prandial glucose (PPG) and glycemic control in type-1 diabetes (T1DM) and type-2 diabetes (T2DM) is unclear. Hence, we undertook this meta-analysis.
    Methods: Databases were searched for randomized controlled trials (RCTs) involving patients with T1DM/T2DM receiving URLi in intervention-arm, and placebo/prandial insulin as control. The primary outcome was a change in PPG. Secondary outcomes were alterations in glycated haemoglobin (HbA1c), fasting plasma glucose (FPG), time in range (TIR), and adverse events.
    Results: Data from six RCTs (3687 patients) were analyzed. Lispro was the control arm in all RCTs. T1DM patients receiving mealtime URLi had lower HbA1c [mean difference (MD) -0.07%; 95% confidence interval (CI): -0.12 to - 0.01;
    Conclusion: Pre-meal URLi is better than lispro with regard to PPG control. Post-meal URLi is as good as lispro for PPG control. Post-meal URLi is inferior to pre-meal URLi for PPG control.
    Language English
    Publishing date 2024-01-11
    Publishing country India
    Document type Journal Article
    ZDB-ID 2600211-5
    ISSN 2230-9500 ; 2230-8210
    ISSN (online) 2230-9500
    ISSN 2230-8210
    DOI 10.4103/ijem.ijem_225_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Neonatal Endocrine Labomas: Few Concerns: Authors Reply.

    Dutta, Deep

    Indian pediatrics

    2018  Volume 55, Issue 1, Page(s) 81

    Language English
    Publishing date 2018--15
    Publishing country India
    Document type Letter ; Comment
    ZDB-ID 402594-5
    ISSN 0974-7559 ; 0019-6061
    ISSN (online) 0974-7559
    ISSN 0019-6061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Lifestyle Interventions Reduce the Risk of Type 2 Diabetes Through Decreasing Branched-Chain Amino Acids: Newer Insights.

    Dutta, Deep / Khandelwal, Deepak

    The Journal of clinical endocrinology and metabolism

    2022  Volume 108, Issue 2, Page(s) e27–e28

    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/prevention & control ; Diabetes Mellitus, Type 2/metabolism ; Amino Acids, Branched-Chain/metabolism ; Finland ; Risk Factors ; Blood Glucose/metabolism
    Chemical Substances Amino Acids, Branched-Chain ; Blood Glucose
    Language English
    Publishing date 2022-10-27
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgac633
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Comment on: "Efficacy and Safety of Saroglitazar in Patients with Cardiometabolic Diseases: A Systematic Review and Meta-Analysis of Randomized Controlled Trials".

    Dutta, Deep / Mohindra, Ritin / Misra, Anoop

    Clinical drug investigation

    2023  Volume 43, Issue 2, Page(s) 147–148

    MeSH term(s) Humans ; Randomized Controlled Trials as Topic ; Pyrroles ; Phenylpropionates ; Cardiovascular Diseases/drug therapy
    Chemical Substances saroglitazar (E0YMX3S4JD) ; Pyrroles ; Phenylpropionates
    Language English
    Publishing date 2023-01-13
    Publishing country New Zealand
    Document type Meta-Analysis ; Systematic Review ; Letter ; Comment
    ZDB-ID 1220136-4
    ISSN 1179-1918 ; 0114-2402 ; 1173-2563
    ISSN (online) 1179-1918
    ISSN 0114-2402 ; 1173-2563
    DOI 10.1007/s40261-022-01245-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Impact of Enhanced External Counter-pulsation Therapy on Glycaemic Control in People With Prediabetes and Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis.

    Nagendra, Lakshmi / Dutta, Deep / Sharma, Meha / Bg, Harish

    TouchREVIEWS in endocrinology

    2023  Volume 19, Issue 2, Page(s) 9–15

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2023-10-02
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2752-5457
    ISSN (online) 2752-5457
    DOI 10.17925/EE.2023.19.2.8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Semaglutide and cancer: A systematic review and meta-analysis.

    Nagendra, Lakshmi / Bg, Harish / Sharma, Meha / Dutta, Deep

    Diabetes & metabolic syndrome

    2023  Volume 17, Issue 9, Page(s) 102834

    Abstract: Background: French national health care insurance system database has suggested 1-3 years use of glucagon like peptide-1 receptor agonists (GLP1RA) (exenatide, liraglutide and dulaglutide) may be linked with increased occurrence of thyroid cancer. ... ...

    Abstract Background: French national health care insurance system database has suggested 1-3 years use of glucagon like peptide-1 receptor agonists (GLP1RA) (exenatide, liraglutide and dulaglutide) may be linked with increased occurrence of thyroid cancer. Similar data on semaglutide is not-available. Hence, we undertook this systematic review to look at the safety of semaglutide focussing on different cancers.
    Methods: Databases were searched for randomized controlled trials (RCTs) and real-world studies involving patients receiving semaglutide in the intervention-arm. Primary outcome was to evaluate the occurrence of pancreatic and thyroid cancers. Secondary outcomes were to the evaluate occurrence of any other malignancies or severe adverse-events.
    Results: Data from 37 RCTs and 19 real-world studies having 16,839 patients in placebo-control group, 16,550 patients in active-control group and 13,330 patients in real-world studies were analysed. Compared to placebo, occurrence of pancreatic cancer [OR 0.25 (95%CI: 0.03-2.24); P = 0.21], thyroid cancer [OR 2.04 (95%CI: 0.33-12.61); P = 0.44; I
    Conclusion: Semaglutide use in RCTs and real-world studies was not associated with an increased risk of any types of cancer, and this conclusion is supported by a high grade of evidence.
    Language English
    Publishing date 2023-07-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2273766-2
    ISSN 1878-0334 ; 1871-4021
    ISSN (online) 1878-0334
    ISSN 1871-4021
    DOI 10.1016/j.dsx.2023.102834
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Prevention of Type 1 Diabetes: Current Perspective.

    Pande, Arun K / Dutta, Deep / Singla, Rajiv

    Indian journal of endocrinology and metabolism

    2023  Volume 27, Issue 4, Page(s) 277–285

    Abstract: People living with type 1 Diabetes (T1D) and their families have poor perception of health related quality of life. Therapies for T1D are becoming better with time, but they still involve a lot of effort. Prevention of T1D, if successful, has potential ... ...

    Abstract People living with type 1 Diabetes (T1D) and their families have poor perception of health related quality of life. Therapies for T1D are becoming better with time, but they still involve a lot of effort. Prevention of T1D, if successful, has potential to change lives of millions of families across the globe. Type 1 diabetes is an autoimmune disease with underlying genetic predisposition for autoimmunity against beta cell antigens upon exposure to an environmental trigger. Identifying underlying primary antigen responsible for initiating autoimmune cascade, avoiding environmental trigger and modifying immunity has all been used as strategies for preventing or delaying onset of type 1 diabetes. Primary prevention for type 1 diabetes is hindered by difficulty in identifying at-risk population and also due to lack of effective preventive strategy. Secondary prevention, in children with presence of autoimmunity, has recently received a boost with approval of Teplizumab, an immunity modifying drug by its Anti-CD3 action. Application of preventive strategies would also change based on country specific incidence, prevalence and availability of health resources. In current review, an update on preventive strategies for type 1 diabetes is being discussed as well as their applicability in Indian context.
    Language English
    Publishing date 2023-08-28
    Publishing country India
    Document type Journal Article
    ZDB-ID 2600211-5
    ISSN 2230-9500 ; 2230-8210
    ISSN (online) 2230-9500
    ISSN 2230-8210
    DOI 10.4103/ijem.ijem_78_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Spontaneous Subdural Empyema: A Case Report.

    Dutta, Deep / Ahmed, Shameem / Borkotoky, Abhigyan

    Asian journal of neurosurgery

    2023  Volume 18, Issue 4, Page(s) 823–825

    Abstract: Subdural empyema is the collection of purulent material between the dura mater and arachnoid. Subdural empyema most often occurs due to the direct extension of local infection. But spontaneous subdural empyema is a rare entity. In literature, not many ... ...

    Abstract Subdural empyema is the collection of purulent material between the dura mater and arachnoid. Subdural empyema most often occurs due to the direct extension of local infection. But spontaneous subdural empyema is a rare entity. In literature, not many cases of spontaneous subdural empyema by
    Language English
    Publishing date 2023-12-29
    Publishing country India
    Document type Case Reports
    ZDB-ID 2621446-5
    ISSN 2248-9614 ; 1793-5482
    ISSN (online) 2248-9614
    ISSN 1793-5482
    DOI 10.1055/s-0043-1777273
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Impact of early initiation of proprotein convertase subtilisin/kexin type 9 inhibitors in patients with acute coronary syndrome: A systematic review meta-analysis.

    Nagendra, Lakshmi / Mahajan, Kunal / Gupta, Gunjan / Dutta, Deep

    Indian heart journal

    2023  Volume 75, Issue 6, Page(s) 416–422

    Abstract: Objective: Scant data is available on the efficacy and safety of proprotein convertase subtilisin/kexin type-9 inhibitors (PCSK9i) for early and rapid reduction of low-density lipoprotein cholesterol (LDL-C) within 4-8 weeks of an acute event in ... ...

    Abstract Objective: Scant data is available on the efficacy and safety of proprotein convertase subtilisin/kexin type-9 inhibitors (PCSK9i) for early and rapid reduction of low-density lipoprotein cholesterol (LDL-C) within 4-8 weeks of an acute event in patients with acute coronary syndrome (ACS). We undertook this meta-analysis to address this knowledge-gap.
    Methods: Electronic databases were searched for RCTs involving patients with ACS receiving PCSK9i in intervention arm, and placebo/active comparator in control arm. Primary outcome was to evaluate changes in 1-month LDL-C post ACS. Secondary outcomes were to evaluate alterations in other lipid parameters and adverse events.
    Results: From initially screened 194 articles, data from 3 studies was analyzed. After 4-weeks therapy, patients receiving PCSK9i had lower LDL-C [MD -0.95 mmol/L (95%CI:-1.51 to -0.40); P = 0.0007; I
    Conclusion: PCSK9i are highly effective in early reduction of LDL-C along with reduction of early hospital readmissions post-ACS.
    MeSH term(s) Humans ; Acute Coronary Syndrome/drug therapy ; Anticholesteremic Agents/therapeutic use ; Cholesterol, HDL ; Cholesterol, LDL ; Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects ; Proprotein Convertase 9 ; Subtilisins
    Chemical Substances Anticholesteremic Agents ; Cholesterol, HDL ; Cholesterol, LDL ; Hydroxymethylglutaryl-CoA Reductase Inhibitors ; Proprotein Convertase 9 (EC 3.4.21.-) ; Subtilisins (EC 3.4.21.-)
    Language English
    Publishing date 2023-09-29
    Publishing country India
    Document type Systematic Review ; Meta-Analysis ; Journal Article
    ZDB-ID 604366-5
    ISSN 2213-3763 ; 0019-4832
    ISSN (online) 2213-3763
    ISSN 0019-4832
    DOI 10.1016/j.ihj.2023.09.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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