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Journal of Postgraduate Medicine

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https://www.readbyqxmd.com/read/28862248/the-allan-burns-mummies-a-history-and-future-prospect-of-an-anatomical-collection
#1
J Lee, G Ċ trkalj
Acquiring adequate resources for anatomy education has represented a challenge throughout the discipline's long history. A significant number of collections housed in anatomy departments contain human tissue of unknown provenance with some obtained in morally dubious ways. This paper outlines the history and future prospects of one such anatomical assemblage - the Burns Anatomical Collection, currently housed at the University of Maryland (UM). The collection originally contained more than 1000 anatomically prepared mummified human remains...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862247/ectopic-adrenocorticotropic-hormone-syndrome-in-a-case-of-duodenal-neuroendocrine-tumor-presenting-with-liver-metastasis
#2
J Khare, S Daga, S Nalla, P Deb
Ectopic adrenocorticotropic hormone (ACTH) syndrome is an uncommon disorder and comprises about 15% of all patients with Cushing's syndrome (CS). Duodenal carcinoids are rare, indolent tumors usually associated with a benign progression. We hereby report a rare case of CS resulting from ectopic ACTH secretion from a duodenal neuroendocrine tumor (NET) presenting with liver metastasis. A 37-year-old female presented with abdominal discomfort and dyspepsia of 1-month duration. Ultrasound abdomen suggested a well-defined hypoechoic lesion in the left lobe of the liver, suggestive of neoplasia...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862246/hypereosinophilia-a-rare-presentation-of-acute-lymphoblastic-leukaemia
#3
G Narayanan, L V Soman, R Kumar
Acute lymphoblastic leukaemia (ALL) presenting as peripheral blood hypereosinophilia is very rare and the incidence is <1%. The characteristic feature of patients with ALL and hypereosinophilia is the absence of blasts in peripheral blood, and this might lead to misdiagnosis of ALL. It is important for clinicians and pathologists to be aware of this uncommon initial presentation of ALL to avoid delay in diagnosis. We report a 37-year-old man who presented with fever and respiratory symptoms and was found to have hypereosinophilia in peripheral blood...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862245/novel-use-of-levodopa-in-human-immunodeficiency-virus-encephalopathy-mediated-parkinsonism-in-an-adult
#4
M F Devine, C Herrin, W Warnack, D Dubey
We report a case of a 36-year-old man with a medical history of human immunodeficiency virus (HIV) infection who presented with hypomimia, hypophonia, bradykinesia, rigidity, and freezing of gait. His clinical presentation and magnetic resonance imaging were consistent with HIV encephalopathy with involvement of the bilateral basal ganglia and diffuse leukoencephalopathy. We initiated a trial of carbidopa-levodopa. The dose was escalated to 1050 mg levodopa daily. Amantadine was also started. The patient was closely monitored for behavioral, neurological, or systemic side effects...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862244/isolated-left-sided-pulmonary-artery-agenesis-with-left-lung-hypoplasia-a-report-of-two-cases
#5
V Govindaraj, J Joseph, B Nagamalli Kumar, R Soman
Unilateral absence of pulmonary artery or pulmonary artery agenesis (UAPA) is a rare congenital malformation that can present as an isolated lesion or in association with other cardiac anomalies. Though congenital, presentation in adults are also reported. Most common presentation in adults is of exercise intolerance. The developing lung on the affected side is hypoplastic. Diagnosis of UAPA is established by imaging methods like CT and MRI . There is no specific treatment for this condition. Treatment depends on patients symptomatology, presence of pulmonary hypertension and collateral circulation...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862243/association-of-anti-clic2-and-anti-hmgb1-autoantibodies-with-higher-disease-activity-in-systemic-lupus-erythematosus-patients
#6
C S Syahidatulamali, W G Wan Syamimee, Y Nor Azwany, K K Wong, C H Che Maraina
BACKGROUND: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease characterized by numerous autoantibodies. In this study, we investigated the presence of anti-chloride intracellular channel 2 (anti-CLIC2) and anti-high mobility group box 1 (anti-HMGB1) autoantibodies in SLE patients (n = 43) versus healthy controls ([HCs] n = 43), and their association with serological parameters (antinuclear antibody [ANA], anti-double-stranded DNA [anti-dsDNA], and C-reactive protein [CRP]) and disease activity using Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score (active or inactive)...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862242/unusual-presentation-of-chondroblastoma-mimicking-trevor-s-disease
#7
A V Nair, S Anirudh
No abstract text is available yet for this article.
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862241/is-rule-of-halves-still-an-occurrence-in-south-india-findings-from-community-based-survey-in-a-selected-urban-area-of-puducherry
#8
S S Kar, S Kalaiselvi, R Archana, G K Saya, K C Premarajan
BACKGROUND: The objective of the present study was to assess the applicability of the rule of halves in an urban population of Puducherry, South India. We also aimed to find the correlates associated with undiagnosed hypertension to facilitate targeted screening. METHODOLOGY: We derive our observation from a community-based cross-sectional study conducted using the World Health Organization STEPwise approach to surveillance in urban slum of Puducherry during 2014-15...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862240/acute-myocardial-infarction-in-yellow-oleander-poisoning
#9
D Anandhi, Knj Prakash Raju, M H Basha, V R Pandit
Self-harm by consuming yellow oleander seeds has become more frequent in South Asian countries, especially Sri Lanka and in southern parts of India. Yellow oleander poisoning usually presents with gastrointestinal, cardiovascular, and neurological manifestations as well as electrolyte abnormalities. Cardiac effects can manifest as nearly any type of dysrhythmia and sudden death with very few premonitory signs. To our knowledge yellow oleander poisoning related acute myocardial infarction has not yet been reported...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28862239/insomnia-and-risk-of-nonalcoholic-fatty-liver-disease-a-systematic-review-and-meta-analysis
#10
K Wijarnpreecha, C Thongprayoon, P Panjawatanan, P Ungprasert
AIM: This study aims to investigate the association between insomnia or excessive daytime sleepiness (EDS) and risk of nonalcoholic fatty liver disease (NAFLD). METHODS: We searched published studies indexed in MEDLINE and EMBASE database from inception to December 2015. Studies that reported odds ratios (ORs), risk ratios, hazard ratios or standardized incidence ratio with 95% confidence intervals (CI) comparing the risk of NAFLD among participants who had insomnia or EDS versus those without insomnia or EDS were included...
August 31, 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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
D M Thappa, M Malathi
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29022559/tuberculosis-human-immunodeficiency-virus-and-the-immune-reconstitution-inflammatory-syndrome
#19
EDITORIAL
A Rapose, S Karande
No abstract text is available yet for this article.
October 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28695873/powdered-gloves-time-to-bid-adieu
#20
LETTER
R Baid, R Agarwal
No abstract text is available yet for this article.
July 2017: Journal of Postgraduate Medicine
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