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  1. Article: Use of inflammatory markers as predictor for mechanical ventilation in COVID-19 patients with stages IIIb-V chronic kidney disease?

    Shanmugavel Geetha, Harinivaas / Prabhu, Sushmita / Sekar, Abinesh / Gogtay, Maya / Singh, Yuvaraj / Mishra, Ajay K / Abraham, George M / Martin, Suzanne

    World journal of virology

    2023  Volume 12, Issue 5, Page(s) 286–295

    Abstract: Background: Studies have shown elevated C-reactive protein (CRP) to predict mechanical ventilation (MV) in patients with coronavirus disease 2019 (COVID-19). Its utility is unknown in patients with chronic kidney disease (CKD), who have elevated ... ...

    Abstract Background: Studies have shown elevated C-reactive protein (CRP) to predict mechanical ventilation (MV) in patients with coronavirus disease 2019 (COVID-19). Its utility is unknown in patients with chronic kidney disease (CKD), who have elevated baseline CRP levels due to chronic inflammation and reduced renal clearance.
    Aim: To assess whether an association exists between elevated inflammatory markers and MV rate in patients with stages IIIb-V CKD and COVID-19.
    Methods: We conducted a retrospective cohort study on patients with COVID-19 and stages IIIb-V CKD. The primary outcome was the rate of invasive MV, the rate of noninvasive MV, and the rate of no MV. Statistical analyses used unpaired
    Results: 290 were screened, and 118 met the inclusion criteria. CRP, D-dimer, and ferritin were significantly different among the three groups. On univariate analysis for invasive MV (IMV), CRP had an odds ratio (OR)-5.44; ferritin, OR-2.8; LDH, OR-7.7; D-dimer, OR-3.9, (
    Conclusion: Our results demonstrate a positive correlation between CRP, ferritin, and D-dimer levels and MV and NIMV rates in CKD patients. The AUROC demonstrates a good sensitivity for CRP levels in detecting the need for MV in patients with stages IIIb-V CKD. This may be because of the greater magnitude of increased inflammation due to COVID-19 itself compared with increased inflammation and reduced clearance due to CKD alone.
    Language English
    Publishing date 2023-11-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2829019-7
    ISSN 2220-3249
    ISSN 2220-3249
    DOI 10.5501/wjv.v12.i5.286
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Hyperglycemia in COVID-19 infection without diabetes mellitus: Association with inflammatory markers.

    Geetha, Harinivaas Shanmugavel / Singh, Garima / Sekar, Abinesh / Gogtay, Maya / Singh, Yuvaraj / Abraham, George M / Trivedi, Nitin

    World journal of clinical cases

    2022  Volume 11, Issue 6, Page(s) 1287–1298

    Abstract: Background: New onset hyperglycemia is common in patients with severe coronavirus disease 2019 (COVID-19) infection. Cytokine storm due to COVID-19 infection is an essential etiology for new-onset hyperglycemia, but factors like direct severe acute ... ...

    Abstract Background: New onset hyperglycemia is common in patients with severe coronavirus disease 2019 (COVID-19) infection. Cytokine storm due to COVID-19 infection is an essential etiology for new-onset hyperglycemia, but factors like direct severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-induced pancreatic β-cell failure have also been postulated to play a role.
    Aim: We plan to investigate further the mechanisms underlying SARS-CoV-2 infection-induced hyperglycemia, particularly the rationale of the cytokine-induced hyperglycemia hypothesis, by evaluating the association between inflammatory markers and new onset hyperglycemia in non-diabetic patients with COVID-19 infection.
    Methods: We conducted a retrospective case-control study on adults without diabetes mellitus hospitalized for COVID-19 infection. The serum levels of glucose and inflammatory markers at presentation before initiation of corticosteroid were collected. Hyperglycemia was defined as glucose levels ≥ 140 mg/dL. C-Reactive protein (CRP) ≥ 100 mg/L, ferritin ≥ 530 ng/mL, lactate dehydrogenase (LDH) ≥ 590 U/L, and D-dimer ≥ 0.5 mg/L were considered elevated. We used the
    Results: Of the 520 patients screened, 248 met the inclusion criteria. Baseline demographics were equally distributed between patients with hyperglycemia and those who were normoglycemic. Serum inflammatory markers in patients with or without new-onset hyperglycemia were elevated as follows: CRP (58.1%
    Conclusion: Our study showed no association between CRP, ferritin, LDH, D-dimer levels, and new-onset hyperglycemia in non-diabetic patients with COVID-19 infection. It also shows an increased mortality risk and length of stay in patients with hyperglycemia. With new-onset hyperglycemia being closely associated with poor prognostic indices, it becomes pivotal to understand the underlying pathophysiological mechanisms behind the SARS-CoV-2 infection-induced hyperglycemia. We conclude that the stress hyperglycemia hypothesis is not the only mechanism of SARS-CoV-2 infection-induced hyperglycemia but rather a multicausal pathogenesis leading to hyperglycemia that requires further research and understanding. This would help us improve not only the clinical outcomes of COVID-19 disease and inpatient hyperglycemia management but also understand the long-term effects of SARS-CoV-2 infection and further management.
    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Journal Article
    ISSN 2307-8960
    ISSN 2307-8960
    DOI 10.12998/wjcc.v11.i6.1287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Comparison of the Periodontal Status of Patients Undergoing Labial and Lingual Orthodontic Therapy.

    Vijaykumar, V / R, Vinoth Kumar / Archana, Durvasulu / Sekar, Abinesh / Deepak, Arun / Umapathy, Vivekanandhan / P, Rajakumar

    Cureus

    2020  Volume 12, Issue 1, Page(s) e6818

    Abstract: Aim To compare the periodontal status in relation to the lower anteriors of patients between labial and lingual orthodontic therapy. Materials and methods The study includes a total of 20 patients in the age group of 20-30 years. All the included ... ...

    Abstract Aim To compare the periodontal status in relation to the lower anteriors of patients between labial and lingual orthodontic therapy. Materials and methods The study includes a total of 20 patients in the age group of 20-30 years. All the included patients were selected with limited lower anterior crowding within 0-8 mm. The subjects were randomly divided into two groups: labial (n=10) and lingual (n=10) fixed orthodontic therapy. The periodontal status was evaluated using three indices, plaque index, calculus index, and gingival index, at two different treatment intervals - the first month and the third month - of orthodontic treatment.  Results The values of all the three indices at both time intervals were tabulated. There was no statistical significance when compared to the values in the first month. In the third month, all three indices were statistically significant for both labial and lingual therapy (p<0.001). The lingual appliance had more plaque and calculus accumulation. Conclusion Therefore, the study proves that the lingual surface of patients undergoing lingual orthodontic treatment exhibits more plaque and calculus deposition, thereby the weakening of the periodontal status.
    Language English
    Publishing date 2020-01-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.6818
    Database MEDical Literature Analysis and Retrieval System OnLINE

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