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Journal of Postgraduate Medicine

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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
#1
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...
March 3, 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
#2
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
#3
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
#4
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
https://www.readbyqxmd.com/read/28272074/when-potion-becomes-poison-a-case-report-of-flecainide-toxicity
#5
S Bajaj, M S Tullu, Zah Khan, M Agrawal
We report a 48-day-old female infant, who developed cardiac conduction abnormalities and seizures secondary to supratherapeutic doses of oral flecainide. Flecainide was started in this infant for treatment of supraventricular tachycardia. The drug was withdrawn with successful normalization of the QRS complex and no further recurrence of seizures. The Naranjo probability score for adverse drug reaction was 8, making the causality "probable." The case restates an important message that physicians should be aware of the side effects of the drugs that they prescribe, especially of those drugs which have a narrow therapeutic window...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272073/looking-beyond-the-cosmetic-tattoo-lesion-near-the-eyebrow-screening-the-lungs
#6
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...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272072/community-based-participatory-epidemiology-in-tribal-areas-in-india
#7
V Gopichandran
No abstract text is available yet for this article.
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272071/a-study-on-the-effect-of-prolonged-mobile-phone-use-on-pure-tone-audiometry-thresholds-of-medical-students-of-sikkim
#8
S Das, S Chakraborty, B Mahanta
INTRODUCTION: Mobile phones have become indispensable for daily activities, and people are exposed to them from an early age. There is, however, concern about the harmful effect of the electromagnetic radiation emitted from the mobile phones. OBJECTIVE: The objective of the study was to study the effect of mobile phone on average pure tone audiometry (PTA) threshold of the person and to study the changes in the pure tone threshold at high frequencies such as 2 kHz, 4 kHz, and 8 kHz among the students with prolonged exposure to mobile phones...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272070/epidemiology-of-mental-disability-using-indian-disability-evaluation-assessment-scale-among-general-population-in-an-urban-area-of-puducherry-india
#9
S G Kumar, K C Premarajan, S Kattimani, S S Kar
BACKGROUND: There is paucity of information on epidemiology of mental disability in India. OBJECTIVE: The objective of this study was to assess mental disability, and to study the association between sociodemographic and comorbid chronic conditions with mental disability. MATERIALS AND METHODS: This community-based cross-sectional study was conducted among ≥5 years age group in an urban area attached to a Tertiary Care Medical Institute in Puducherry, India...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272069/does-prehospital-time-affect-survival-of-major-trauma-patients-where-there-is-no-prehospital-care
#10
S B Dharap, S Kamath, V Kumar
BACKGROUND: Survival after major trauma is considered to be time dependent. Efficient prehospital care with rapid transport is the norm in developed countries, which is not available in many lower middle and low-income countries. The aim of this study was to assess the effect of prehospital time and primary treatment given on survival of major trauma patients in a setting without prehospital care. MATERIALS AND METHODS: This prospective observational study was carried out in a university hospital in Mumbai, from January to December 2014...
March 3, 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...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272067/prompt-diagnosis-of-scedosporium-apiospermum-soft-tissue-infection-life-saving-in-a-renal-transplant-recipient
#12
R Ghosh, P Mishra, P K Maiti, A Debnandi
Scedosporium apiospermum, an ubiquitous filamentous fungus, a known cause of mycetoma, is emerging as an opportunistic pathogen in immunocompromised individuals. We report a case of painful foot abscess in a renal allograft recipient on immunosuppressive therapy, which was clinically diagnosed as a suppurative bacterial abscess. Pus was aspirated, which showed septate, branching hyphal elements and culture on Sabouraud's dextrose agar yielded S. apiospermum, which was identified based on its macroscopic and microscopic features...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272066/unusual-presentation-of-chondroblastoma-mimicking-trevor-s-disease
#13
Y Karkhur, A Tiwari, T Verma, L Maini
Chondroblastoma is a benign bone tumor, represents 1%-2% of all primary bone tumors, typically seen in patients 10-25-year-old and more common in males. It occurs most frequently in the distal femur, proximal tibia, and proximal humerus. Soft tissue extension is extremely rare. Adjacent joints may develop effusions, but the tumor mass protruding into the joint has never been seen in case of chondroblastoma. We report a rare case of intra-articular chondroblastoma arising from proximal tibia in a 16-year-old boy and growing into the knee joint mimicking an intra-articular osteochondroma...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272065/erythrophagocytosis-by-blasts-in-a-case-of-de-novo-acute-monoblastic-leukemia-with-rare-but-characteristic-t-8-16
#14
A Gupta, G K Reddy, M Goyal, M R Kasaragadda
Erythrophagocytosis by leukemic blasts is a rare phenomenon. We report a case of a female diagnosed with acute monoblastic leukemia with leukemic blasts that were CD34 and CD117 negative, showing erythrophagocytosis, vacoulations, and a rare t(8;16) on bone marrow karyotype which is associated with a poor prognosis despite intensive chemotherapy. Meticulous bone marrow examination in such a scenario may point towards the presence of t(8;16) and help clinicians take a well-informed clinical decision.
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272064/inter-and-intra-observer-variability-of-ultrasonographic-arm-muscle-thickness-measurement-by-critical-care-physicians
#15
V Hadda, R Kumar, A Dhungana, M A Khan, K Madan, G C Khilnani
PURPOSE: The aim of this study was to assess inter- and intra-observer variability of arm muscle thickness measured by critical care physicians using bedside ultrasonography (USG). METHODOLOGY: This prospective study included twenty patients admitted with sepsis. Three measurements of thickness of right arm muscles of each patient using B-mode USG were taken by two critical care fellows, independently. Intra- and inter-observer reliability was tested using intraclass correlation coefficient (ICC)...
March 3, 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
#16
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...
March 3, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28272062/pulmonary-miliary-papillary-micropapillary-adenocarcinoma-manifesting-as-carcinomatous-encephalitis
#17
P Vaideeswar, S S Nayak, A Verma, N A Goel
The histological pattern and the associated molecular aberrations have an important bearing in the prognosis of pulmonary adenocarcinomas. Papillary and micropapillary growth patterns with mutations in epidermal growth factor receptor and anaplastic large-cell lymphoma kinase rearrangements have an aggressive clinical course. We report one such cancer in a 49-year-old woman, where it assumed a miliary pattern in the lungs, and the patient presented with neurological symptoms related to carcinomatous encephalitis, an infrequent metastatic manifestation...
March 3, 2017: Journal of Postgraduate Medicine
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
#18
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
#19
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
#20
LETTER
S P Dearman, A B Joiner, A Swann
No abstract text is available yet for this article.
April 2017: Journal of Postgraduate Medicine
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