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Journal of Postgraduate Medicine

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https://www.readbyqxmd.com/read/28397743/reply-to-letter-to-editor-regarding-the-article-polyarteritis-nodosa-presenting-as-peripheral-vascular-disease-and-acute-limb-ischemia
#1
LETTER
A Shukla, A Aggarwal
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28397742/polyarteritis-nodosa-presenting-as-peripheral-vascular-disease-and-acute-limb-ischemia
#2
LETTER
S Chauhan, A Chauhan
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28397741/developing-professionalism-in-postgraduate-doctors-beyond-workshops
#3
LETTER
S P Dearman, A B Joiner, A Swann
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28397740/-drug-use-without-indication-in-elderly-hospitalized-patients
#4
LETTER
N Haider, F Mazhar, M Ahmed
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28397739/native-valve-endocarditis-caused-by-kocuria-rosea-complicated-by-peripheral-mycotic-aneurysm-in-an-elderly-host
#5
P Gunaseelan, G Suresh, V Raghavan, S Varadarajan
Infective endocarditis still remains a dreaded illness among treating physicians because of the disease course, its need for meticulous antibiotic management, complications, and overall morbidity. Peripheral mycotic aneurysms are a rarely reported complication of infective endocarditis. Mycotic aneurysms occur in about 5%-10% of cases of infective endocarditis, and most of them involve the intracranial vessels. Here, we report a case of native valve endocarditis in a 74-year-old man caused by Kocuria rosea...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28397738/a-young-child-with-persistent-respiratory-symptoms-think-beyond-asthma
#6
EDITORIAL
S K Kabra, A Kumar
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28397737/elimination-of-measles-from-india-challenges-ahead-and-the-way-forward
#7
EDITORIAL
S B Bavdekar, S Karande
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272078/trends-in-nutrient-intakes-nutritional-status-and-correlates-of-undernutrition-among-rural-children-below-5-years-of-age-the-national-nutrition-monitoring-bureau-survey-2012
#8
I I Meshram, M R Kodavanti, H K Rachkulla, B Nagalla, S R Kakani
BACKGROUND: In spite of several national nutrition intervention programs that have been in operation since the past four decades, undernutrition continues to be an important public health problem in India. AIM: The aim of the present study was to assess the trends in food and nutrient intakes and nutritional status of children in India below 5 years of age. SETTING AND DESIGN: A community-based, cross-sectional study was carried out in ten National Nutrition Monitoring Bureau states by adopting a multistage random sampling procedure...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272073/looking-beyond-the-cosmetic-tattoo-lesion-near-the-eyebrow-screening-the-lungs
#9
F Fatemi Naeini, M Pourazizi, B Abtahi-Naeini, A Saffaei, F Bagheri
Cosmetic tattooing has become a risk factor for several adverse reactions related to inks, procedures, and associated clinical conditions. Development of a sarcoid reaction to the inserted tattoo pigment in the skin is not common. We report a 45 year-old patient with history of dyspnea and mild cough since two years who had subsequently developed reddish, scaly lesions in her 15-year old tattoo done near her right eyebrow. Skin biopsy of the tattoo lesion revealed cutaneous sarcoidosis which led to further investigations and a diagnosis of pulmonary sarcoidosis...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272072/community-based-participatory-epidemiology-in-tribal-areas-in-india
#10
EDITORIAL
V Gopichandran
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272068/rare-disease-heralded-by-pulmonary-manifestations-avoiding-pitfalls-of-an-asthma-label
#11
S Bajaj, M Muranjan, S Karande, D Prabhat
Pulmonary manifestations are seldom recognized as symptoms of storage disorders. The report describes the diagnostic journey in a 30-month-old male infant, born of a third-degree consanguineous marriage referred to our institute as severe persistent asthma. History revealed that the child had progressively worsening breathlessness and persistent dry cough not associated with fever but accompanied by weight loss. On physical examination, there was growth failure, respiratory distress, clubbing, hepatosplenomegaly, and occasional rhonchi...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272063/acceptability-and-feasibility-of-mini-clinical-evaluation-exercise-as-a-formative-assessment-tool-for-workplace-based-assessment-for-surgical-postgraduate-students
#12
M K Joshi, T Singh, D K Badyal
BACKGROUND: Despite an increasing emphasis on workplace-based assessment (WPBA) during medical training, the existing assessment system largely relies on summative assessment while formative assessment is less valued. Various tools have been described for WPBA, mini-clinical evaluation exercise (mini-CEX) being one of them. Mini-CEX is well accepted in Western countries, however, reports of its use in India are scarce. We conducted this study to assess acceptability and feasibility of mini-CEX as a formative assessment tool for WPBA of surgical postgraduate students in an Indian setting...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27853045/primary-sjogren-s-syndrome-presenting-as-hypokalemic-paralysis-a-case-series
#13
M Goroshi, S Khare, T Jamale, N S Shah
Primary Sjögren's syndrome (pSS) primarily involves exocrine glands, and renal tubular acidosis (RTA) is seen in one-third of the cases. RTA with hypokalemic paralysis as a presenting feature of pSS is described in few case reports in literature. We report 13 cases who presented as hypokalemic paralysis, and on evaluation were diagnosed to be pSS, as per the diagnostic criteria laid by the Sjögren's International Collaborative Clinical Alliance (2012). All patients were female, with a mean age at presentation being 33...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27853041/prevalence-and-risk-factors-of-hypertension-and-diabetes-in-the-katkari-tribe-of-coastal-maharashtra
#14
M G Deo, P V Pawar, S R Kanetkar, S V Kakade
BACKGROUND AND OBJECTIVES: Urban and rural India are both going through health epidemiological transition and will soon face huge burden of noncommunicable diseases (NCDs). Information on the status of NCDs in tribals is limited. Although the prevalence of hypertension in scheduled tribes (STs) has been studied in several states by the National Nutrition Monitoring Bureau, tribe-specific data are very scanty. The objective of this study was to generate data on the status of hypertension and diabetes, the two objectively measurable NCDs in Katkaris, the dominant ST in the Raigad district of coastal Maharashtra...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27779153/cytohistological-correlation-in-pituitary-tumor-and-immunological-assessment-with-the-help-of-ki-67
#15
A Sen, C Das, M Mukhopadhyay, S Mukhopadhyay, S Deb, B Mukhopadhyay
BACKGROUND: Tumors of the pituitary gland and sellar region represent approximately 10-15% of all brain tumors. Pituitary adenoma (PA), the most common pathology of the pituitary gland, can be effectively subclassified only with the help of immunohistochemistry (IHC). This is important and needed for individual patient management. AIMS AND OBJECTIVES: The objective of the study was to analyze the importance of intraoperative imprint smear cytology and correlating with final histopathological diagnosis...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27652986/adenosine-monophosphate-activated-protein-kinase-based-classification-of-diabetes-pharmacotherapy
#16
REVIEW
D Dutta, S Kalra, M Sharma
The current classification of both diabetes and antidiabetes medication is complex, preventing a treating physician from choosing the most appropriate treatment for an individual patient, sometimes resulting in patient-drug mismatch. We propose a novel, simple systematic classification of drugs, based on their effect on adenosine monophosphate-activated protein kinase (AMPK). AMPK is the master regular of energy metabolism, an energy sensor, activated when cellular energy levels are low, resulting in activation of catabolic process, and inactivation of anabolic process, having a beneficial effect on glycemia in diabetes...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27531690/do-high-sensitivity-c-reactive-protein-and-serum-interleukin-6-levels-correlate-with-disease-activity-in-systemic-lupus-erythematosuspatients
#17
V Umare, A Nadkarni, M Nadkar, A Rajadhyksha, P Khadilkar, K Ghosh, V D Pradhan
INTRODUCTION: Systemic Lupus Erythematosus (SLE) is an inflammatory autoimmune disease where an interplay between acute phase proteins and cytokines are involved in disease activation. AIM AND OBJECTIVES: This case control study was performed to investigate interrelationship between high sensitivity C-reactive proteins (hs-CRP), Interleukin-6 (IL-6) levels and disease activity among SLE patients. MATERIALS AND METHODS: One hundred forty one clinically diagnosed SLE cases were included and disease activity was noted by SLE Disease Activity Index (SLEDAI)...
April 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272077/changing-trend-in-bacterial-etiology-and-antibiotic-resistance-in-sepsis-of-intramural-neonates-at-a-tertiary-care-hospital
#18
M P Roy, M Bhatt, V Maurya, S Arya, R Gaind, H K Chellani
BACKGROUND: Septicemia is an important cause of neonatal morbidity and mortality. However, organized data on causative organisms and their resistant pattern are scanty from developing countries. The changing trend in causative organisms and their antibiotic resistance is yet to be documented in India. The present study examines the trends in bacterial profile and antibiotic resistance of the organisms causing sepsis in hospitalized neonates. MATERIALS AND METHODS: A retrospective laboratory-based analysis of blood cultures obtained from Neonatal Intensive Care Unit of a tertiary care hospital in New Delhi was done for the period of 1999-2014, divided into five phases...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272076/hypopituitarism-presenting-as-congestive-heart-failure
#19
S Giri, P Bansal, S Malik, R Bansal
Sheehan's syndrome (SS) develops as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage and is characterized by various degrees of hypopituitarism. Although the occurrence of SS is now rare, it should still be considered in any woman with a history of peripartum hemorrhage who develops manifestations of pituitary hormone deficiency any time following the event. Appropriate hormone replacement therapy results in marked clinical improvement. We present an unusual case of SS in a young lady who continued to have normal menstruation after the index event, had two spontaneous pregnancies, and was diagnosed only 11 years later when she presented to us with acute heart failure...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272075/the-impact-of-topical-saint-john-s-wort-hypericum-perforatum-treatment-on-tissue-tumor-necrosis-factor-alpha-levels-in-plaque-type-psoriasis-a-pilot-study
#20
P Mansouri, S Mirafzal, P Najafizadeh, Z Safaei-Naraghi, M H Salehi-Surmaghi, F Hashemian
CONTEXT: Psoriasis is an inflammatory disorder, formed by inappropriate interaction of T lymphocytes with keratinocytes, and consequent eruption of immune responses. High concentrations of tumor necrosis factor-alpha (TNFα) are found in the skin lesions and plasma of patients with psoriasis. Hypericum perforatum, a phytomedicine that has both anti-inflammatory and antiproliferative properties, has been recently reported to be clinically helpful for improvement of psoriatic lesions. AIMS: The aim of the present study was to investigate the effects of topical H...
March 3, 2017: Journal of Postgraduate Medicine
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