Platelet-to-albumin ratio helps predict mortality risk in patients undergoing peritoneal dialysis: Study

A new study published in the journal of BMC Nephrology showed that in patients receiving peritoneal dialysis (PD), the platelet-to-albumin ratio (PAR) is a separate predictor of cardiovascular disease and all-cause mortality. The long-term survival rate of patients receiving PD is still poor, despite the fact that peritoneal dialysis is an effective treatment for renal replacement. A poor prognosis for a number of illnesses is linked to the platelet-to-albumin ratio, which was recently shown to be a measure of nutritional and inflammatory conditions. Nevertheless, nothing is known about the relationship between serum PAR and the prognosis of PD patients. The purpose of this study was to assess the predictive power of PAR for cardiovascular disease (CVD) and all-cause mortality in PD patients.

Patients enduring Parkinson’s disease (PD) were recruited for this multicenter cohort research between January 1, 2009, and September 30, 2018. The quartiles of the patients’ baseline PAR were used to create four groups. Mortality from all causes and CVD was the main outcome. The relationship between the PAR and death from all causes or from CVD was assessed using Cox proportional hazards models. The performance of PAR and other inflammatory markers was compared using the receiver operating characteristic (ROC) curve. The incremental predictive value of PAR in comparison to the baseline model for predicting all-cause and CVD mortality was examined using the C-statistic, net reclassification improvement (NRI), and integrated discrimination improvement (IDI).

The study included a total of 2825 patients, which included 747 death cases over the 47.5 ± 28.3-month follow-up period, 415 of which were due to CVD. Placement in Q4 was linked to a higher risk of both CVD and all-cause death as compared to Q1. According to the adjusted limited cubic spline analysis, there was a linear connection between the PAR and cardiovascular and all-cause mortality.

The interaction tests revealed no positive relationships. With corresponding AUC values of 0.611 for all-cause mortality and 0.609 for cardiovascular mortality, PAR demonstrated greater predictive value for death when compared to other inflammatory markers. The inclusion of PAR in the baseline model produced a moderate but substantial increase in outcome prediction, as indicated by the C-statistic, continuous NRI, and IDI. Overall, this study showed that in patients receiving PD, elevated blood PAR was strongly linked to an increased risk of death from all causes and from CVD.

Reference:

Ma, H., Chen, J., Zhan, X., Ao, S., Deng, J., Tang, R., Peng, F., Tian, N., Wen, Y., Wang, X., Feng, X., Su, N., Tang, X., Wu, X., Zhou, Q., & Xu, Q. (2024). Platelet-to-albumin ratio: a potential biomarker for predicting all-cause and cardiovascular mortality in patients undergoing peritoneal dialysis. In BMC Nephrology (Vol. 25, Issue 1). Springer Science and Business Media LLC. https://doi.org/10.1186/s12882-024-03792-8

Powered by WPeMatico

For Moderate to Severe acne, CAB gel turns out to be effective treatment. Study

For Moderate to Severe acne, CAB gel turns out to be effective treatment suggests a study published in the Journal of Drugs in Dermatology.

Clindamycin phosphate 1.2%/adapalene 0.15%/benzoyl peroxide 3.1% gel (CAB) is the only fixed-dose triple-combination treatment approved for acne. This post hoc analysis assessed the impact of sex on efficacy and safety/tolerability of CAB.

Methods: In two multicenter, double-blind, phase 3 studies (NCT04214639 and NCT04214652), participants aged ≥9 years with moderate-to-severe acne were randomized (2:1) to 12 weeks of once-daily treatment with CAB or vehicle gel. Pooled data were analyzed by sex. Assessments included treatment success (≥2-grade reduction from baseline in Evaluator’s Global Severity Score and a score of 0 [clear] or 1 [almost clear]), inflammatory/noninflammatory lesion counts, Acne-Specific Quality of Life (Acne-QoL) questionnaire, treatment-emergent adverse events (TEAEs), and cutaneous safety/tolerability. Results: At week 12, treatment success rates were significantly greater with CAB versus vehicle irrespective of sex (females: 53.7% vs 23.0%; males: 43.1% vs 24.6%; P<0.05, both). CAB-treated female and male participants both experienced greater reductions from baseline versus vehicle in inflammatory (females: 77.7% vs 57.9%; males: 77.5% vs 57.1%; P<0.001, both) and noninflammatory lesions (females: 72.5% vs 45.6%; males: 72.3% vs 49.6%; P<0.001, both). Acne-QoL improvements from baseline to week 12 were significantly greater with CAB than vehicle. No significant differences in any efficacy measures between CAB-treated males and females were observed. Most TEAEs were of mild-to-moderate severity; no sex-based trends for safety/tolerability were observed. CAB demonstrated comparable efficacy, quality-of-life improvements, and safety in female and male participants with moderate-to-severe acne. As the first fixed-dose, triple-combination topical formulation, CAB represents an important new treatment for acne.

Reference:

Lain ET, Bhatia N, Kircik L, Gold LS, Harper JC, Bunick CG, Guenin E, Baldwin H, Feldman SR, Rosso JQD. Clindamycin Phosphate 1.2%/Adapalene 0.15%/Benzoyl Peroxide 3.1% Gel for Male and Female Acne: Phase 3 Analysis. J Drugs Dermatol. 2024 Oct 1;23(10):873-881. doi: 10.36849/JDD.2024.8484. PMID: 39361705.

Keywords:

For, Moderate, Severe, acne, CAB, gel, turns, effective, treatment, study, Lain ET, Bhatia N, Kircik L, Gold LS, Harper JC, Bunick CG, Guenin E, Baldwin H, Feldman SR, Rosso JQD, Journal of Drugs in Dermatology

Powered by WPeMatico

Medical Student in Chennai Allegedly commits suicide, investigation underway

Chennai- In an unfortunate incident, a medical student in Chennai allegedly committed suicide in his hostel room near Porur in Chennai.

The medico has been identified as Rishikesh, a resident of Kumarapalayam in Namakkal district. He was a medical student studying in a private medical college in Chennai. It is believed that he took the drastic step after feeling dejected over his relationship issues.

After the incident took place, the police were informed and a preliminary investigation was conducted. The preliminary police investigation revealed that the student was depressed due to ‘love failure’. His body has been recovered and sent to Kilpauk Medical College Hospital for post-mortem, reports DTNext.

Currently, the police filed a case under the relevant section of IPC. Further investigation in this regard is underway.

A few days back 23-year-old student, also a trainee doctor of Meenakshi Medical College in Kanchipuram allegedly committed suicide by jumping from the fifth floor of her hostel building.

Medical Dialogues team had previously also reported about a 2nd-year MBBS student of Pondicherry Institute of Medical Sciences (PIMS) who allegedly committed suicide by hanging himself in a lodge near Thideer Nagar in Madurai. The 20-year-old student was struggling with stress regarding his studies and left the house on July 8. His family after being unable to find him filed a missing complaint at the police station.

His death came to light when a room boy knocked on the door of the student’s room but he did not answer. After receiving no response from him, the boy called the police who broke open the door and found the student hanging from the ceiling. 

Powered by WPeMatico

Depression rates in LGBTQIA+ students are three times higher than their peers, research suggests

Findings published in the Journal of American College Health uncover an alarming rise in depression rates among all higher education students in the United States, but especially among sexual and gender minorities. This population includes those who identified as lesbian, gay, bisexual, transgender, queer, questioning, intersex, asexual (LGBTQIA+), non-binary or gender non-conforming, and other identities.

Powered by WPeMatico

Survey reveals most parents don’t ask about firearms in the homes their kids visit

Over 60% of Illinois parents had never asked another parent about an unlocked firearm in their home before allowing their child to visit for a playdate, according to a survey from Ann & Robert H. Lurie Children’s Hospital of Chicago published in Pediatrics.

Powered by WPeMatico

Experiment shows time alone heightens ‘threat alert’ in teenagers—even when using social media

People in their late teens experience an increased sensitivity to threats after just a few hours left in a room on their own—an effect that endures even if they are interacting online with friends and family.

Powered by WPeMatico

Could a genetic flaw be the key to stopping people craving sugary treats?

A study published in Gastroenterology provides novel genetic insights into dietary preferences and opens the possibility of targeting SI to selectively reduce sucrose intake at the population level.

Powered by WPeMatico

Specific long term condition combinations have major role in NHS ‘winter pressures’

Specific combinations of long term conditions have a major role in the additional pressures the NHS faces every winter, because they are associated with significantly higher risks of hospital admissions and death, finds research published in the open access journal BMJ Medicine.

Powered by WPeMatico

Aurobindo Pharma arm gets GMP certificate of compliance for biosimilars manufacturing facility from EMA

HyderabadCuraTeQ Biologics Private Limited, a wholly owned subsidiary of Aurobindo Pharma Limited, has received a
GMP certificate of compliance for its biosimilars manufacturing facility from the EMA. The GMP inspection,
conducted by EMA representatives from April 8th to April 12th, 2024, assessed mammalian and microbial drug
substance manufacturing facility sections, prefilled syringes and vials filling, packaging, and QC testing and
release laboratories

Dr. Satakarni Makkapati, Director of Aurobindo Pharma Limited and CEO of Biologics, Vaccines, and Peptides,
stated, “The EU GMP certification marks a significant milestone in CuraTeQ’s commitment to manufacturing
high-quality biosimilars for patients worldwide. This inspection outcome paves way for securing approvals for
our three biosimilars in Europe, currently under review by the Agency, within the next two to five months.”

K. Nithyananda Reddy, Vice-Chairman and Managing Director of Aurobindo Pharma Limited, added, “Our
portfolio comprises fourteen biosimilars in development across oncology and immunology segments. We are
dedicated to building a sustainable biosimilars portfolio and bringing these essential therapies to patients.”

Read also: Aurobindo Pharma arm announces successful Phase 1 clinical study outcome of their BP11 product

CuraTeQ Biologics Private Limited (CuraTeQ), a subsidiary of Aurobindo Pharma Limited, is a global
biopharmaceutical company headquartered in Hyderabad, India. It is focused on developing biosimilars for the treatment of various cancers and autoimmune
diseases. CuraTeQ’s pipeline consists of fourteen biosimilars, primarily targeting the immunology and oncology
segments. It has end-to-end capabilities in producing a full range of products from bulk drug substance to fillfinish and packaged drug products.

Read also: Aurobindo Pharma unit partners with MSD to foray into contract manufacturing operations

Powered by WPeMatico

Bond Service Allotment: UP DGME Releases Counselling Schedule for NEET PG 2020, 21 batches, check details

Uttar Pradesh- The Director of Medical Education (DME) Uttar Pradesh has released the schedule of online counselling for the appointment of candidates of the National Eligibility and Entrance Test-Postgraduate (NEET PG) 2020 (MD / MS) Supplementary Batch and NEET PG 2021 Diploma Batch to the post of Senior Resident under compulsory government service bond.

As per the schedule, the entire process for the appointment of candidates of the NEET PG 2020 (MD / MS) Supplementary Batch and NEET PG 2021 Diploma Batch to the post of Senior Resident under compulsory government service bond will start from 14th November 2024 and will end on 26th November 2024.

The online registration and online record verification will start on 14th November 2024 and will conclude on 16th November 2024. Following this, the online choice filling will start from 16th to 18th November 2024. After the completion of the choice-filling process, the seat allotment result will declared on 18th November 2024. Lastly, candidates can download the allotment letter and submit the contribution report to the allotted college from 20th November 2024.

Below is the detailed schedule-

SCHEDULE

S.NO

DESCRIPTION

DATE

TOTAL DAYS

1

Date of online registration.

14th November, 2024 (11:00 AM) to 16th November, 2024 (2:00 PM)

03 days

2

Date of online record verification

14th November, 2024 (11:00 AM) to 16th November, 2024 (2:00 PM)

03 days

3

Date of online choice filling.

16th November 2024 (5:00 PM) to 18th November 2024 (11:00 AM)

02 days

4

Date of declaration of seat allotment result

18 to 19th November 2024

01 day

5

Date for downloading allotment letter and submitting contribution report to the allotted college

20th to 26th November 2024

07 days

Meanwhile, it is to be noted that for online counselling, the candidates must register themselves by logging in to the UPDGME official website. If a candidate does not fill the option or does not participate in the counselling, then such candidates will be posted in any medical college/institute/medical university of the state in the public interest.

Along with this, UPDGME has also released certain important guidelines regarding the employment of candidates of NEET PG 2020 (Supplementary Batch) and NEET PG 2021 Diploma Batch under the Compulsory Government Service Bond.

Following are the important guidelines for employment of NEET PG 2020 (Supplementary Batch) and NEET PG 2021 Diploma Batch candidates through online counselling on the basis of their All India NEET Rank-

1 Seats will be allotted through online counselling based on the All India Rank, category and options of the candidates in relation to the vacant seats. The list of eligible candidates for counselling is available on the UPDGME official website.

2 The benefit of reservation will be payable only to the reserved category candidates of Uttar Pradesh state. The benefit of reservation will not be payable to the candidates from outside Uttar Pradesh state.

3 All certificates related to reservation will be valid only if issued by the competent authority and in the format prescribed by the Government of Uttar Pradesh. Reservation certificates in the format prescribed by the Government of India will not be valid.

4 The OBC category certificate dated 01.4.2024 or later will be valid only.

5 Choice filling of the candidates participating in online counselling will be auto-locked after the prescribed date and time.

To view the schedule, click the link below

To view the guidelines, click the link below

Powered by WPeMatico