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Journal of the Association of Physicians of India

https://read.qxmd.com/read/38881149/perspective-of-indian-medical-students-toward-the-practice-and-teaching-of-integrative-medicine
#1
LETTER
Tejal Mehta, Prateek Jain, Monika Pathania, Navdeep Ahuja, Mohit Bhatia
No abstract text is available yet for this article.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881148/its-high-time-to-correct-vitamin-d-levels-to-the-optimum
#2
EDITORIAL
Abhijit Trailokya
No abstract text is available yet for this article.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881147/cochlear-implants-an-attempt-to-restore-hearing
#3
JOURNAL ARTICLE
Deepa A Valame, Geeta Gore, Jayant Pai-Dhungat
No abstract text is available yet for this article.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881146/cutis-verticis-gyrata-unfolding-the-folds
#4
JOURNAL ARTICLE
Adlyne Reena Asirvatham, Shriraam Mahadevan
No abstract text is available yet for this article.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881145/adult-partial-anomalous-pulmonary-venous-connection-case-reports-including-a-case-of-scimitar-syndrome
#5
JOURNAL ARTICLE
Rekha Gupta, Pranav K Udupi, Ankita Sharma, Lipi Uppal
Partial anomalous pulmonary venous connection (PAPVC) is a congenital heart defect in which one or more pulmonary veins drain abnormally into the systemic venous circulation, leading to the development of pulmonary arterial hypertension. It can be supracardiac type, draining into the superior vena cava or right atrium (also called cardiac type) and infracardiac type with drainage into the inferior vena cava (IVC). We present two cases-supracardiac and infracardiac types of PAPVC in this case report.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881144/neuroparacoccidioidomycosis
#6
JOURNAL ARTICLE
Shilpa S Kulkarni, Rustom S Wadia, Datta Kharawade, Mrunal Nandedkar, Neeta Munshi, Prachee Sathe
Paracoccidioidomycosis (PCM) is caused by a dimorphic fungus Paracoccidioides Brasiliensis and is endemic to subtropical areas of Central and South America. CNS involvement of PCM is extremely variable. NeuroPCM is found in 9.65% to 27.18% of PCM cases .Most neuro PCM patients presents with simultaneous involvement of other organ but isolated or initial CNS involvement may be a feature in 21%. Here we report a case of CNS PCM and this appears to be first reported case of PCM and CNS PCM in India.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881143/surgical-management-in-a-medical-emergency-disseminated-extensive-tissue-damage-due-to-snake-envenomation
#7
JOURNAL ARTICLE
Vijoy Kumar Jha, Sanjeev Kumar Deshpande, Rahil Arora, A K Ajin Anto
Many snakebite deaths in India may remain unreported as these patients still seek treatment from traditional healers or quacks. Though local and systemic toxicity due to snake envenomation is quite common, the clinical presentation as disseminated extensive tissue damage and ulceration is not seen. We present a lady who presented with extensive skin erosions with tissue necrosis in all four limbs and the trunk. The case was successfully managed with antisnake venom, wound debridement, and split skin grafting...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881142/postdengue-acute-disseminated-encephalomyelitis
#8
JOURNAL ARTICLE
Sudipto Chakraborty, Akash Narayan, Debabrata Chakraborty, Bhaskar Ukil, Satya Narayan Singh
A 38-year-old gentleman, following an uncomplicated dengue fever 2 weeks back, developed acute onset bilateral lower limb weakness and numbness for 5 days, associated with bladder and bowel incontinence and a band-like sensation in T4 dermatome. On examination, he had paraparesis with normal cranial nerves except for left upper motor neuron-type 7th cranial nerve palsy and normal higher mental function. Magnetic resonance imaging (MRI) of the brain and spine detected multiple demyelinating lesions. A diagnosis of postdengue acute disseminated encephalomyelitis (ADEM) was made as part of postinfective inflammatory process after the fever had subsided...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881141/primary-aortoenteric-fistula-due-to-salmonella-typhi-related-mycotic-aneurysm
#9
JOURNAL ARTICLE
S Divyashree, Prabhu Premkumar, Priscilla Rupali
Primary aortoenteric fistulas (AEF) are rare. The majority of these are due to atherosclerotic aortic aneurysms. Mycotic aortic aneurysms leading to primary AEF are exceedingly uncommon. Here we report a rare case of primary AEF secondary to Salmonella-related mycotic aneurysm and discuss the diagnostic and therapeutic issues.
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881140/chronic-obstructive-pulmonary-disease-and-oxygen-therapy-a-double-edged-sword
#10
REVIEW
Yash Sanjay Kedia, Vidushi Rathi, Pranav Ish, Nitesh Gupta, Rohit Kumar
Oxygen, like all medicines, is a drug which needs moderation. Hypoxia, as well as excess oxygen supplementation, can be harmful in a patient with chronic obstructive pulmonary disease (COPD). Both the European and the British guidelines recommend a target oxygen saturation of 88-92% in patients with COPD. Hypoxia can result in symptoms, such as restlessness, anxiety, agitation, and headache, while excess oxygen can lead to altered sensorium due to the retention of carbon dioxide (CO2) in patients with COPD...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881139/an-indian-expert-group-review-of-acanthosis-nigricans-with-recommendations-for-early-detection-and-timely-management
#11
REVIEW
Gulrez Tyebkhan, Sangeeta Velaskar, Preeta Yadav, Meghana Phiske, Duru Shah
INTRODUCTION: Acanthosis nigricans (AN) is a visible cutaneous manifestation of several underlying systemic conditions, such as prediabetes, diabetes mellitus (DM), polycystic ovarian syndrome (PCOS), metabolic syndrome (MS), and malignancy. AN is commonly seen in obese individuals and is a proven skin marker of insulin resistance (IR). Its typical clinical presentation and location, especially on the nape of the neck, allows for easy visual identification. Obesity, IR, and other noncommunicable diseases (NCD) are on the rise in India, with many cases being undiagnosed or missed...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881138/declining-trend-in-antimicrobial-sensitivity-in-respiratory-tract-bacterial-pathogens-against-commonly-used-drugs-at-a-tertiary-care-hospital
#12
JOURNAL ARTICLE
Swati Sharma, Raghubir Singh Khedar, Tripti Dixit, Pawan Kumar, Surendra Singh, Krishna Kumar Sharma, Rajeev Gupta
OBJECTIVES: Antimicrobial resistance (AMR) is a major health issue. To determine trends in bacterial organisms in respiratory tract infections (RTIs) and their antibiotic sensitivity at a tertiary care center in India, we performed this study. METHODS: Successive samples received from January 2017 to December 2021 from the respiratory tract (sputum, endotracheal secretion, and bronchoalveolar lavage) from intensive care units and medical inpatients were processed for bacterial growth...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881137/pattern-of-medical-device-adverse-events-in-a-tertiary-care-hospital-in-northern-india-an-ambispective-study
#13
JOURNAL ARTICLE
P K Saifuddin, Ajay Prakash, Ram Samujh, Sunil Kumar Gupta, Vanita Suri, Rohit Manoj Kumar, Siddhartha Sharma, Bikash Medhi
BACKGROUND: Knowledge about the pattern of adverse events caused by medical devices (MDs) is limited in India. We aimed to assess the pattern of MD adverse events (MDAEs) in a tertiary hospital in Northern India. MATERIALS AND METHODS: This descriptive study was conducted ambispectively at various clinical departments of PGIMER, Chandigarh. We followed the guidelines edged by the Materiovigilance Program of India (MvPI) to conduct this study. The prospective study (PS) was done from January to December 2020, with a concurrent retrospective study (RS) proceeding to 3 years to learn more about the reporting culture, demographics, notification status, risk class of defective devices, and the type of adverse events...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881136/statin-usage-in-peripheral-arterial-disease-patients
#14
JOURNAL ARTICLE
Shweta Agrawal, Sunil Abhishek Batta, Deepak Kamath, Grace Anto Thomas, Prajwal Boregowda, Srilakshmi M Adhyapak, Kiron Varghese
OBJECTIVES: Atherosclerotic cardiovascular disease (ASCVD) events have been shown to occur at higher frequency in patients with peripheral arterial disease (PAD). In this study, our aim is to evaluate whether statin is being used appropriately in patients with PAD and also evaluate its usage with the number of vascular beds involved. MATERIALS AND METHODS: This retrospective cross-sectional study reviewed data of patients with a confirmed diagnosis of PAD based on invasive or noninvasive imaging...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881135/addition-of-mask-to-high-flow-nasal-oxygen-a-strategy-to-improve-oxygenation-in-hypoxemic-respiratory-failure-secondary-to-covid-19
#15
JOURNAL ARTICLE
Suhail Mantoo, Umar Hafiz Khan, Ruhail Qadir Bhat, Tajamul Hussain Shah, Farhana Siraj, Afshan Shabir, Nazia Mehfooz, Syed Mudasir Qadri, Muzaffar Bindroo, Ajaz Nabi Koul, Mushtaq Ahmad, Fayaz Ahmad Sofi, Sonaullah Shah, Rafi Ahmed Jan
PURPOSE: High-flow nasal cannula (HFNO) reduces the need for invasive mechanical ventilation in COVID-19 patients with hypoxemic-respiratory failure. During HFNO entrainment of room air dilutes the delivered fractional inspiratory oxygen (FiO2 ), thereby preventing improvement in oxygenation. The placement of a mask over HFNO to improve oxygenation has provided conflicting results. We aimed to determine and compare the effect of placing various mask types over HFNO on oxygen saturation (SPO2 )...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881134/long-term-outcome-of-coronavirus-disease-associated-mucormycosis-1-year-follow-up-study-from-india
#16
JOURNAL ARTICLE
Prabhat Agrawal, Akhil Pratap Singh, Pranay Singh Chakotiya, Vikas Kumar, Ashish Gautam, Dharmendra Kumar
IMPORTANCE: Invasive fungal infections have recently become a public health problem, particularly in India following the second wave of coronavirus disease 2019 (COVID-19). India harbors the world's largest population of patients suffering from diabetes. What prompted the sudden spike of mucormycosis infections in the COVID pandemic needs investigation. OBJECTIVE: To determine if COVID-19 infection prompted the spike in invasive fungal infections in diabetic population...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881133/evolution-of-metabolic-syndrome-in-newly-diagnosed-type-2-diabetes-mellitus-asian-indian-patients-over-the-last-15-years-using-adult-treatment-panel-iii-of-the-national-cholesterol-education-program-world-health-organization-and-international-diabetes-federation
#17
JOURNAL ARTICLE
Harshpreet Singh Tuteja, Nikhil Nassikar, Krish Panikar, Mangesh Tiwaskar, Sanhita Walwalkar, Ishita Sachdev, Sunil Kamble, Parveen Kadir, Aditi Mahajan, Shashank Joshi, Vijay Panikar
AIM: A retrospective observational study was undertaken to assess the changing trends in the incidence of metabolic syndrome (MetS) in Asian-Indian patients with newly diagnosed type 2 diabetes (T2D) using Adult Treatment Panel III of the National Cholesterol Education Program (NCEP-ATP III), World Health Organization (WHO), and the International Diabetes Federation (IDF) criteria. The overall and gender-wise pattern of MetS and its components were also evaluated. MATERIALS AND METHODS: Newly diagnosed T2D patients ( n = 10,950)visiting Dr Panikar's Diabetes Care Centre from 2004 to 2019 with retrievable electronic medical records were selected...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881132/neutrophil-to-lymphocyte-ratio-as-a-marker-for-diagnosis-and-prognostication-of-sepsis
#18
JOURNAL ARTICLE
Rakesh Bhadade, Isha Naik, Minal Harde, Rosemarie de Souza
PURPOSE: Exploring the ideal marker for early diagnosis and prognosis of sepsis is crucial due to limitations of available sepsis indicators. Hence, we aimed to evaluate the neutrophil-to-lymphocyte ratio (NLR) as a diagnostic and prognostic marker of sepsis. MATERIALS AND METHODS: This prospective case-control study was conducted at a tertiary care teaching public hospital. NLR values among cases and controls were compared for diagnosis. Among cases, serial trends in NLR values, outcome (survival or death), and various parameters [such as Sequential Organ Failure Assessment (SOFA) score, duration of intensive care unit (ICU) stay, etc...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881131/evaluation-of-the-sarc-f-questionnaire-as-a-diagnostic-tool-for-sarcopenia-in-geriatric-age-group-in-india
#19
JOURNAL ARTICLE
Ani Abhishek Sharma, Savita Kumari, Nirmal Kumar Sharma, Udit Narang, Keshav Singhal, Himanshu Bansal
INTRODUCTION: With medical science advancing in leaps and bounds, average lifespan is now trending upward, and we are now facing an increasing prevalence of diseases of the elderly, sarcopenia being one of them. Unfortunately, sarcopenia, especially in India, remains to be frequently overlooked, underdiagnosed, and largely understudied. One of the greatest hindrances to the diagnosis of sarcopenia is high costs and limited availability of diagnostic modalities such as magnetic resonance imaging (MRI) and dual energy X-ray absorptiometry (DEXA) scan...
June 2024: Journal of the Association of Physicians of India
https://read.qxmd.com/read/38881130/evaluation-of-inflammatory-markers-and-demographic-profile-of-type-2-diabetes-mellitus-patients-among-the-ethnic-communities-attending-central-referral-hospital-east-sikkim
#20
JOURNAL ARTICLE
Chungsang Ongmu Bhutia, Takhelmayum Amumacha Singh, Mingma Lhamu Sherpa, Bidita Khandelwal, Sonam Choden Bhutia
BACKGROUND: Type 2 diabetes mellitus (T2DM) is the most common metabolic disorder and inflammation plays a key role in the pathogenesis of the disease. Ethnic variations have been linked with an increased prevalence of diabetes. This pilot study was designed to evaluate the inflammatory markers and demographic characteristics in T2DM patients among the ethnic group of Sikkim. MATERIALS AND METHODS: A total of 100 type 2 diabetic patients and 50 healthy controls were enrolled in the study...
June 2024: Journal of the Association of Physicians of India
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