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Original Article
Introduction: Cancer of the upper aerodigestive tract (UADT) represents a significant health burden globally, particularly in South Africa. Profession delay, the interval from symptom recognition to c
Cancer stagechronic patientsecondary delaytertiary delaypatient factorspresence of an intermediary.
Original Article
Objective: To assess the clinical usage, prescribing patterns, and cost-effectiveness of recombinant human erythropoietin (RhEPO) across different departments in a tertiary care setting. Design: Retro
AnemiaChronic kidney diseaseDesidustatErythropoietinCost-effectiveness.
Original Article
India’s National Health Policy (NHP) 2017 emphasizes patient-centered and quality healthcare across preventive, curative, palliative, and rehabilitative services. Achieving high-quality care necessita
patient satisfactionquality of careoutpatient departmentpreventive care
Original Article
Background: Enhanced Recovery After Surgery (ERAS) is a multimodal, evidence-based perioperative care programme that attenuates the surgical stress response, reduces postoperative complications, short
Enhanced Recovery After SurgeryERASpancreaticoduodenectomyWhipple proceduredelayed gastric emptyingpostoperative pancreatic fistula
Original Article
Background: Metabolic acidosis is a hallmark of physiological crisis in critical care, reflecting cellular hypoxia, renal insufficiency, or systemic metabolic failure. In regional tertiary centers, th
AcidosisMetabolicIntensive Care UnitsAnion GapBlood Gas AnalysisPrognosis.
Original Article
Background: In many low-resource settings, neonatal surgical care is delivered without access to the specialised equipment and consumables considered standard in high-income environments. Clinicians m
Neonatal SurgeryImprovisationMedicalResource-Limited SettingsParenteral NutritionCatheterization
Original Article
Background: Urinary catheters pose a potential risk of introducing infections in the urinary system. We aim to assess the rate of catheter-associated urinary tract infection (CAUTI) in surgical patien
Urinary tract infectionCatheterTertiary care
Original Article
Objective: To investigate the prevailing knowledge-practice gap and determinants regarding breastfeeding among mothers attending a tertiary care facility in Patna, Bihar. Study design: A Cross-section
Antenatal CounsellingBreastfeedingNutritionKnowledge-Practice GapMaternal EducationKnowledge
Original Article
Background: Traumatic brain injury (TBI) is a major global health challenge, with high rates of morbidity and mortality. Rapid and accurate prognostication in the emergency department is crucial for t
traumatic brain injuryCT scoringmortality predictionStockholm scoreemergency medicine
Original Article
Background: Mushroom poisoning remains a major public health concern worldwide, particularly in regions where wild mushroom consumption is common. Clinical manifestations range from mild gastrointesti
Hepatotoxicityintensive care unitmushroom poisoningtoxicology.
Original Article
Background: ICU admission serves as an objective marker of severe maternal morbidity. Obstetric patients constitute 0.4–4% of total ICU admissions in public hospitals in India, with maternal mortality
Obstetric ICUmaternal mortalityeclampsiaobstetric haemorrhagecritical carenorth India.
Original Article
Objective: To investigate the clinical profile, risk factors, outcomes, microbiological patterns, and antibiotic resistance in hospital-acquired pneumonia (HAP) patients at a tertiary care centre. Des
Drug ResistanceMicrobialIntensive Care UnitsMortalityPneumoniaVentilator-Associated
Original Article
Background: Resource allocation can be problematic in ischemic stroke receiving IV thrombolysis (tPA) during COVID-19 pandemic as only a subset requires critical care interventions. It is also unknown
tPA Unitimproving Length of staypost tPA
Original Article
Introduction: The management of HF has evolved significantly with the introduction of novel therapeutic agents and biomarker-guided strategies. NT-proBNP (N-terminal pro-B-type natriuretic peptide) gu
NT-proBNP-guided treatmentHeart failureNewer drug therapy
Original Article
Background: Global trends in cesarean section (CS) have been rising consistently. In India, the rates in tertiary hospitals are particularly high due to referral of complex cases. Trends over time and
Cesarean sectionobstetric indicationstrendstertiary careIndianeonatal outcomes