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Journal of Postgraduate Medicine

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https://www.readbyqxmd.com/read/29067929/comparison-of-stress-and-burnout-among-anesthesia-and-surgical-residents-in-a-tertiary-care-teaching-hospital-in-north-india
#1
K Gandhi, N Sahni, S K Padhy, P J Mathew
OBJECTIVE: The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India. MATERIALS AND METHODS: A comparative, observational study was conducted in a tertiary care teaching hospital in North India...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067928/multi-organ-igg4-related-disease-demystifying-the-diagnostic-enigma
#2
S Bhardwaj, S Goyal, A K Yadav, A Goyal
IgG4-related disease (IgG4-RD) is a multisystemic mass forming immune-mediated disease entity, commonly creating confusion and diagnostic challenges. We present a case of a 25-year-old female who presented with bilateral orbital masses, lymphadenopathy, paraspinal and renal masses, which clinicoradiologically simulated lymphoma. The lymph node biopsy revealed interfollicular sheets of plasma cells creating confusion with Castleman's disease and marginal zone lymphoma. The orbital biopsy revealed ductular destruction, periductular plasma cells, and fibrosis, mimicking Sjogren's syndrome and Castleman's disease...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067927/observational-study-comparing-pharmacoinvasive-strategy-with-primary-percutaneous-coronary-intervention-in-patients-presenting-with-st-elevation-myocardial-infarction-to-a-tertiary-care-centre-in-india
#3
A G Alex, A Lahiri, T Geevar, O K George
OBJECTIVE: The objective was to study whether the incidence of composite end points (mortality, cardiogenic shock and re-myocardial infarction [re-MI]) in pharmacoinvasive strategy was noninferior to primary percutaneous coronary intervention (PCI) in patients with ST-elevation myocardial infarction (STEMI). METHODS: This was an observational study which included 138 patients. The study included patients admitted with a diagnosis of STEMI within 24 h of symptom onset, who underwent primary PCI or pharmacoinvasive therapy in a single center over a 9-month period...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067926/rare-tracheal-tumor-solitary-plasmacytoma
#4
R Stevic, M Ercegovac, J Stojšić, N Čolić
Primary tracheal tumors are rare and trachea is an exceedingly rare site of extramedullary plasmacytoma (EMP). We report a case of solitary tracheal plasmacytoma causing symptoms of airway obstruction in a 59-year-old man. Flow/volume loop indicated the fixed central airway obstruction. Computerized tomography and bronchoscopy demonstrated a sessile tumor on posterior tracheal wall obstructing 80% of the lumen. Partial tracheal resection with T-T anastomosis was performed. Pathologic analysis of resected mass revealed EMP...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067925/3q26-chromosomal-anomalies-in-acute-myeloid-leukemia-first-descriptions-from-india
#5
A Gupta, L Kumar
Cytogenetic anomalies involving the 3q26 chromosomal region are rare in acute myeloid leukemia (AML). There is no such description of these anomalies from the Indian sub-continent. A total of 174 AML patients were admitted to our hospital for therapy between January 2001 and January 2008. Cytogenetic studies could be done in 115 patients; which revealed three cases with 3q26 anomalies. All were males. In the first two cases, the anomaly was detected in all the metaphases. The common features seen were the presence of only mild thrombocytopenia (relatively high platelet counts when assessed against the background of AML with high blast percentages), monosomy 7, myeloperoxidase positive blasts, mild eosinophilia, and poor therapeutic response...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067924/assessment-of-healthcare-measures-healthcare-resource-use-and-cost-of-care-among-severe-hemophilia-a-patients-in-mumbai-region-of-india
#6
U Jadhav, K Mukherjee
BACKGROUND: In India, the low public health priority given to rare disorders such as hemophilia hinders their management and optimal care, leading to relatively poor health outcomes. This study aims to profile the multidimensional health status of patients with severe hemophilia A, and its association with the use of healthcare resources and the cost of care in Mumbai region of India. SUBJECTS AND METHODS: A cross-sectional, single-center study was conducted during January-May 2011, among 160 patients diagnosed with severe hemophilia A in Mumbai region of India...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067923/effect-of-vitamin-d-therapy-on-urinary-albumin-excretion-renal-functions-and-plasma-renin-among-patients-with-diabetic-nephropathy-a-randomized-double-blind-clinical-trial
#7
Plgc Liyanage, S Lekamwasam, T P Weerarathna, C Liyanage
BACKGROUND: Despite different management strategies, progression of proteinuria occurs in a sizable category of patients with diabetic nephropathy (DN). Increase in serum renin levels induced by the renin-angiotensin system (RAS) may contribute to this. Vitamin D therapy is found to have an inhibitory effect on the RAS. We aimed to study the effects of Vitamin D therapy on renal functions of patients with DN. METHODS: This was a double-blind, randomized, placebo-controlled study...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067922/primary-adrenal-teratoma-an-unusual-tumor-challenges-in-diagnosis-and-surgical-management
#8
P Ramakant, C Rana, K R Singh, A Mishra
We report a rare case of a 25-year-old lady who presented with right hypochondriac pain associated with weakness for 3 months. Her hormonal evaluation was normal. Computed tomography scan revealed an adrenal mass for which a right open transperitoneal adrenalectomy was performed, and the lesion was diagnosed as mature teratoma on histopathological examination. Teratoma is an unusual neoplasm which arises from one or all the three germ layers. Extragonadal teratomas are rare in adults as compared to children and are mostly retroperitoneal in location, constituting only 4% of all primary teratomas...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067921/photokeratitis-induced-by-ultraviolet-radiation-in-travelers-a-major-health-problem
#9
REVIEW
M Izadi, N Jonaidi-Jafari, M Pourazizi, M H Alemzadeh-Ansari, M J Hoseinpourfard
Ultraviolet (UV) irradiation is one of the several environmental hazards that may cause inflammatory reactions in ocular tissues, especially the cornea. One of the important factors that affect how much ultraviolet radiation (UVR) humans are exposed to is travel. Hence, traveling is considered to include a more acute UVR effect, and ophthalmologists frequently evaluate and manage the ocular manifestations of UV irradiation, including UV-induced keratitis. The purpose of this paper is to provide an evidence-based analysis of the clinical effect of UVR in ocular tissues...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067920/upper-airway-angioedema-after-topical-hyaluronic-acid-in-a-patient-treated-with-bisoprolol
#10
A Schattner, A Haj-Yahya
No abstract text is available yet for this article.
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067919/smoking-and-risk-of-colonic-diverticulosis-a-meta-analysis
#11
K Wijarnpreecha, B Boonpheng, C Thongprayoon, V Jaruvongvanich, P Ungprasert
BACKGROUND/OBJECTIVES: The possible relationship between smoking and risk of colonic diverticulosis has been suggested by recent epidemiological studies, although the results were inconsistent. This meta-analysis was conducted to summarize all available data. METHODS: A comprehensive literature review was conducted using the MEDLINE and EMBASE databases through May 2017 to identify all studies that compared the risk of colonic diverticulosis among current and former smokers versus nonsmokers...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29067918/a-rare-case-of-bullhorn-injury-associated-traumatic-hernia-of-anterior-abdominal-wall-managed-by-laparoscopic-sutured-tissue-only-repair
#12
K D Singh, V Singh, P Gupta, R Mani
Traumatic abdominal wall hernias (TAWHs) are relatively uncommon entities. Common mechanisms that predispose to such hernias include motor vehicle accidents, seat belt injuries, fall from height, handlebar injuries, and bullfighting. Bullhorn injury leading to TAWHs is an uncommon mechanism. We report here one such patient who was managed by laparoscopic transperitoneal anatomical repair of the defect using polypropylene suture. The patient recovered well without any complication and is being followed up. Such small defects can be managed laparoscopically and tissue-only repair using a nonabsorbable suture is a feasible option...
October 23, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022567/reply-to-letter-to-editor-regarding-the-article-adenosine-monophosphate-activated-protein-kinase-based-classification-of-diabetes-pharmacotherapy
#13
LETTER
D Dutta, S Kalra, M Sharma
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022566/adenosine-monophosphate-activated-protein-kinase-based-classification-of-diabetes-pharmacotherapy
#14
LETTER
A Hajra, D Bandyopadhyay, S K Hajra
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022565/malignant-orbital-teratoma-in-a-neonate-a-clinicopathological-case-report
#15
LETTER
M D Al-Mendalawi
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022564/precursor-b-cell-acute-lymphoblastic-leukemia-an-unusual-cause-of-bilateral-nephromegaly-in-an-infant
#16
D Ramadoss, S Karande, M Muranjan, P Wagle
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022563/statistical-medicine-an-emerging-medical-specialty
#17
A Indrayan
A large number of statistical tools are now used for medical decision in the core activities of diagnosis, treatment and prognosis. These tools provide undeniable help in improving medical outcomes. Prominent among them are uncertainty measurement by probability, medical indicators and indexes, reference ranges, and scoring systems. In addition are tools such as odds ratio, sensitivity, specificity and predictivities, area under the ROC curve, likelihood ratios, and cost-benefit analysis that are commonly applied in medical research but have implications for day-to-day clinical activities...
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022562/ketogenic-diet-in-endocrine-disorders-current-perspectives
#18
REVIEW
L Gupta, D Khandelwal, S Kalra, P Gupta, D Dutta, S Aggarwal
Ketogenic diet (KD) is a high-fat, adequate-protein, and low-carbohydrate diet that leads to nutritional ketosis, long known for antiepileptic effects and has been used therapeutically to treat refractory epilepsy. This review attempts to summarize the evidence and clinical application of KD in diabetes, obesity, and other endocrine disorders. KD is usually animal protein based. An empiric vegetarian Indian variant of KD has been provided keeping in mind the Indian food habits. KD has beneficial effects on cardiac ischemic preconditioning, improves oxygenation in patients with respiratory failure, improves glycemic control in diabetics, is associated with significant weight loss, and has a beneficial impact on polycystic ovarian syndrome...
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022561/upwardly-mobile-lowered-hearing
#19
U K Menon
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022560/topical-therapy-of-psoriasis-where-do-we-stand
#20
D M Thappa, M Malathi
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
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