Abstract : Angiography possesses limitations in assessing plaque composition, vessel width, diffuse reference vessel disease, lesion severity, and the success or failure of stent placement. Intravascular ultrasonography (IVUS) helps address several of these issues by offering enhanced visualization of the coronary architecture and stent placement. Study was conducted in AIIMS - Rishikesh, Department of Cardiology. Spanned 12 months with a 6-month follow-up. Post-angiography guided angioplasty and stenting. All patients underwent IVUS pullback. The study included 16 patients due to the non-working of the unspecified surgical package under the Ayushman Bharat scheme, with an intended target of 30 patients. Half of the patients (8, 50%) presented with acute coronary syndrome, while the other half presented with chronic stable angina. Left main disease was present in 50% patients, and 13 (81.25%) had complex coronary artery lesions. After angiography guided angioplasty, IVUS pullback on all patients, revealed that only three patients (18.75%) required post IVUS optimization of stent. The majority of patients did not require post-IVUS optimization following angiography-guided angioplasty and stenting. No major adverse cardiovascular events were recorded, and no target vessel myocardial infarction, target vessel revascularization, target lesion revascularization, or stent thrombosis were reported over the 6-month follow-up period..
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Abstract : This case report highlights the challenges faced in establishing a hemodialysis vascular access in a 28-year- old patient with acute kidney injury, severe preeclampsia with hemolysis, elevated liver enzymes and low platelet (HELLP syndrome). The patient's severe thrombocytopenia posed significant difficulties in achieving a suitable vascular access for hemodialysis. The report emphasizes the importance of a multidisciplinary approach and resourcefulness as well as strong clinical judgment in managing such complex cases in resource-limited settings..
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Abstract : The relationship of emotion with relation to the physical health of an individual can play a role in promoting overall better cardiovascular and metabolic health. This study was conducted to identify the relationship of human emotions with cardiovascular and metabolic health. The study participants were voluntarily recruited in a sequential manner without regard to gender, ethnicity, geography, or occupation. Participants older than 18 years were asked to fill out a validated questionnaire on human emotions. The BMI, blood pressure and blood glucose of the participants were assessed. The Mann-Whitney U test was applied to determine the metabolic and cardiovascular health of individuals with positive and negative emotions. There was a clinically significant difference in blood pressure, BMI and blood glucose between participants with positive and negative emotions. Participants having negative emotions had increased blood pressure, BMI and blood glucose levels as compared to participants with positive emotions. Metabolic and cardiovascular health is significantly affected by negative emotions leading to hypertension, Obesity and Diabetes. Improvement of metabolic and cardiovascular health is dependent on the management of emotional detox and promoting positive emotional learning..
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Abstract : The global prevalence of low birth weight is estimated to be 15% to 20% of all births representing over 20 million births in a year. There is wide variation in the prevalence of low birth weight across regions; however, evidence shows the nearly half of low births weight occurs in low and middle-income countries and especially in the most vulnerable population. A cross sectional study was conducted among low birth weight children(0-5 years) in a tertiary care hospital, Hyderabad. Simple random sampling method was followed. A pre-tested and semi-structured questionnaire was used which comprises of socio-demographic details and anthropometric measurements. Socio-demographic factors and risk factors for low birth weight were assessed using the interview schedule. Data was coded and entered in MS Excel and statistical analysis was done using SPSS version 22 Software. prevalence of underweight among under-five children and grades of malnutrition as per IAP classification. The prevalence of underweight among under-five children was 52.9%. According to IAP classification. The prevalence of underweight among under-five children who belongs to class 1 and class 2 socio-economic status was 40% and 43.7%. Under-five children belonging to class 4 socio-economic status were more malnourished(63.4%). The birth weight was correlated with the study parameters overall and with the gender. The chest circumference (r=0.76; P<0.0001) shown a statistically significant positive correlation. The prevalence of underweight was very high in our study population. Most of the underweight children were infants, females and those who belong to lower socio-economic status. Therefore, they should be the primary targets for interventions to fight against the malnutrition..
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Abstract : Vascular malformations of the head and neck result in various clinical symptoms, physical appearances, and different degrees of psychosocial well-being. In children most small and superficial venous malformations can be treated easily and effectively; however, management of deep and severe lesions involving numerous anatomical locations remains challenging. We discuss the challenges and a single institution’s experience with pediatric surgical resection of complex vascular malformations in head and neck regions not only were anatomically challenging but also did not resposnd to conservative or sclerotherapy. This case series involved pediatric patients who had undergone operative management of vascular malformation in the head and neck regions in 2022 to 2023. The patients were referred by the dermatology department for surgical excision because of poor response to nonsurgical treatment. Five patients underwent surgical debulking and two children underwent excision of vascular malformations; their ages ranged from 3 months to 8 years. The lesions were located on the scalp, cheek, and neck ; four were lymphatic malformations and two were venous malformations. A single surgeon operated on all seven patients. The surgical incision and approach were individualized in each case to meet the goal of aesthetic and functional outcomes. No recurrence occurred in the follow-up. One patient had transient facial weakness. Early intervention, especially in pediatric cases with rapidly enlarging symptomatic vascular malformations, is vital to prevent complications and ensure the best possible outcomes..
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