A5001655063- Antifungal resistance and susceptibility
- Electrolyte and hormonal disorders
- Maternal and fetal healthcare
- Liver Disease and Transplantation
- Viral Infections and Vectors
- Pancreatitis Pathology and Treatment
- Antibiotic Resistance in Bacteria
- Antibiotics Pharmacokinetics and Efficacy
- Respiratory Support and Mechanisms
- Fungal Infections and Studies
- Antibiotic Use and Resistance
- Atomic and Subatomic Physics Research
- Acute Kidney Injury Research
- Metabolomics and Mass Spectrometry Studies
- Parasitic Diseases Research and Treatment
- Pneumonia and Respiratory Infections
- Nutrition and Health in Aging
- Climate Change and Health Impacts
- Intensive Care Unit Cognitive Disorders
- Global Maternal and Child Health
- Clinical Nutrition and Gastroenterology
- Sepsis Diagnosis and Treatment
- Thermal Regulation in Medicine
- Pregnancy and preeclampsia studies
- Pneumocystis jirovecii pneumonia detection and treatment
King George's Medical University
2017-2024
Bangabandhu Sheikh Mujib Medical University
2021
Sanjay Gandhi Post Graduate Institute of Medical Sciences
2011-2016
Mayo Clinic
2009
Widespread emergence of multidrug resistant (MDR) bacterial pathogens is a problem global dimension. MDR infections are difficult to treat and frequently associated with high mortality. More than one antibiotic commonly used such infections, but scientific evidence does not favor use combination therapy in most cases. However, there certain subgroups where may be beneficial, e.g. sepsis due carbapenem-resistant Enterobacteriaceae (CRE), bacteremic pneumococcal pneumonia, patients multiple...
Limited studies are available on prevalence and severity of vitamin D deficiency in a critically ill population. To the best our knowledge, this first study its kind an Indian intensive care set-up.One hundred fifty-eight patients were prospectively enrolled for over 2 years. Demographic profile clinical characteristics noted. Blood sample serum 25 (OH) was collected admission (4 ml). Serum measured using radioimmunoassay kit. Vitamin labelled as insufficient (31-60 nmol/l), deficient (15-30...
Hypocalcemia is a frequent finding in acute pancreatitis. Severe hypocalcemia can present with neurological as well cardiovascular manifestations. Correction of by parenteral calcium infusion remains controversial topic intracellular overload the central mechanism acinar cell injury The current article deals art and science correction pancreatitis patients.
A pregnant mother undergoes significant changes in acid-base status as well sodium and calcium metabolism to combat her physiological needs of pregnancy. Pregnant patients experience mild respiratory alkalosis due the stimulation center by progesterone. This is associated with a corresponding increase bicarbonate excretion kidneys; result, pH remains slightly high (7.40-7.45) but within normal range. women are predisposed starvation ketosis compared nonpregnant states relative insulin...
Intra-abdominal candidiasis (IAC) is the second most common form of invasive after candidaemia. IAC a broad term and can be classified on basis anatomical site (Candida peritonitis, pancreatic candidiasis, biliary tract gastrointestinal hepatosplenic candidiasis) as well clinical setting (community acquired versus nosocomial). The risk factors linked with are candida colonisation, anastomotic leak, multiple instrumentation, long-term spectrum antibiotic use, total parenteral nutrition,...
Adequate nutritional therapy is essential for recovery from critical illness. Nutritional requirement varies in different patients and daily a single patient. Both under over feeding are associated with complications. Besides this, not all behave similar way to therapy. Appropriate requires identification of "at risk" providing aggressive support them. The current article deals illness special emphasis on neurocritical care patients.
Sir, Hyperammonemia as a cause of encephalopathy in patient with normal liver enzyme levels is unusual.[12] Hence, it remains undiagnosed especially intensive care (ICU) settings.[3] We recently had Klebsiella sepsis and hyperammonemic (HE) function tests. report this unique case after taking informed consent from patient's kin. A 63-yr-old house-wife presented to our ICU fever dysuria for 10 days impaired level consciousness hypotension 1 day. She was having adequately controlled type-2...
Sir, We read the article “Nosocomial candiduria in chronic liver disease patients at a hepatobiliary center”[1] with great interest. This clearly highlights importance of repeat sampling who are reported as having candiduria. Candiduria can occur due to contamination, colonization (of indwelling catheter or bladder), and infection (Candida cystitis ascending pyelonephritis renal candidiasis) discussed this article. Taking sample after insertion fresh eliminates chances but still be...
Sir, The article “Candida glabrata candidemia; An emerging threat in critically ill patients” very well highlights the importance of this species.[1] Due to delay time positivity for blood culture, empirical antifungal therapy is an important strategy management invasive candidiasis, more so C. infection. Appropriate requires identification high risk group. In present study, authors have reported broad spectrum antibiotic, mechanical ventilation, central venous catheter, diabetes mellitus...
A recently published article on corruption in Indian healthcare the BMJ has triggered a hot debate and numerous responses (1, 2, 3, 4). We do agree that is colossal issue needs to be tackled urgently (5). However, we want highlight not local phenomenon confined subcontinent, though India does serve as good case study intervention area due magnitude of problem country's large population (6). Good governance, strict rules, transparency zero tolerance are some strategies prescribed everywhere...