A rare cause of cold agglutinin hemolytic anemia- Histiocytic sarcoma
S Deme, N Gollakota, PK Vanka, TR PaulJournal of Postgraduate Medicine 2019 65(3):190-191 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: S Deme N Gollakota PK Vanka TR Paul Source Type: research

Remitting symmetrical seronegative synovitis and pitting edema syndrome with concomitant adenocarcinoma of the lung
S KarahanJournal of Postgraduate Medicine 2019 65(3):188-189 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: S Karahan Source Type: research

Forgotten gauze piece will not be forgiven always
S Rajaian, M Pragatheeswarane, K Krishnamurthy, L MurugasenJournal of Postgraduate Medicine 2019 65(3):186-187 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: S Rajaian M Pragatheeswarane K Krishnamurthy L Murugasen Source Type: research

Gerbode defect: A rare complication of infective endocarditis
GO Mert, M Dural, B Gorenek, KU MertJournal of Postgraduate Medicine 2019 65(3):184-185 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: GO Mert M Dural B Gorenek KU Mert Source Type: research

Solving the conundrum. A migrainous infarction or an infarct-induced migrainous attack ?
B Hebant, L Simmonet, J Le Moal, E Guegan-MassardierJournal of Postgraduate Medicine 2019 65(3):181-183 Solving the conundrum between a migrainous infarction (MI) and an infarct-induced migrainous attack (MA) is challenging. A 35-year-old woman with previous history of migraine with visual auras was addressed for acute aphasia followed by progressive right hemibody paresthesia and then by positive visual symptoms in her right visual field. These phenomena were followed by a migrainous headache. A perfusion CT performed during symptoms showed an extended hypoperfusion in the left temporo-occipital region corresponding to a...
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: B Hebant L Simmonet J Le Moal E Guegan-Massardier Source Type: research

INFIX/EXFIX: Innovation managing pelvic fractures in difficult scenarios
We describe use of INFIX as EXFIX in three case scenarios where passing INFIX rod internally was precluded with favorable outcomes. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: R Bagga AP Shetty RM Kanna S Rajasekaran Source Type: research

Beta-thalassemia major complicated by intracranial hemorrhage and critical illness polyneuropathy
S Sanju, MS Tullu, S Karande, MN Muranjan, P ParekhJournal of Postgraduate Medicine 2019 65(3):171-176 Intracranial hemorrhage (ICH) is rarely seen in patients with thalassemia. A seven-year-old male, known case of beta-thalassemia major, on irregular packed cell transfusions (elsewhere) and non-compliant with chelation therapy, presented with congestive cardiac failure (Hb-3 gm/dl). He received three packed red cell transfusions over 7 days (cumulative volume 40 cc/kg). On the 9th day, he developed projectile vomiting and two episodes of generalized tonic-clonic convulsions with altered sensorium. He had exaggerated deep...
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: S Sanju MS Tullu S Karande MN Muranjan P Parekh Source Type: research

A graduate & #39;s perspective on medical student journals
A Abu-ZaidJournal of Postgraduate Medicine 2019 65(3):169-170 Medical student journals (MSJs) refer to a cluster of entirely student-led periodicals that publish student-authored articles. A recent review showed that MSJs characteristically employ a student-friendly and feeble peer review process, which is largely associated with poor quality of published articles. Herein, as a graduate medical student, I call on peer medical students to make an informed decision in refraining from submitting their research work to MSJs for four primary reasons. These reasons, generally, include: 1) opaque peer-review process, 2) lack of ...
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: A Abu-Zaid Source Type: research

Validation of age and height based formulae to predict paediatric airway distances & #8211; a prospective observational study
Conclusion: Our study validates the formulae derived in the earlier study to predict thyromental, mentohyoid, and sternomental distances in children with no obvious external airway anomalies. Further studies are needed to extend the applicability of these formulae in obese children and those with craniofacial anomalies coming for general anesthesia and surgery. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: P Mathew V Ashok MM Siraj V Grover D Sethuraman Source Type: research

Worldwide trend in measles incidence from 1980 to 2016: A pooled analysis of evidence from 194 WHO Member States
Conclusion: Current study showed that there was significant decline in the incident number of measles cases based on worldwide, regional, and income group estimates, but insufficient to achieve the measles elimination target by 2020. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: Y Krishnamoorthy M Sakthivel SK Eliyas G Surendran G Sarveswaran Source Type: research

Economic burden of specific learning disability: A prevalence-based cost of illness study of its direct, indirect, and intangible costs
Conclusion: SpLD is a cost-intensive disability (intangible > indirect > direct costs). Tuitions, which are not the therapy for SpLD, are the most costly component of indirect costs. Remedial education is the most costly component of direct costs. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: S Karande S D & #39;souza N Gogtay M Shiledar R Sholapurwala Source Type: research

Correlation of cumulative ST elevation with left ventricular ejection fraction and 30-day outcome in patients with ST elevation myocardial infarction
Conclusion: The STE and STR% are useful surrogate markers in prognosticating patients irrespective of the type of STEMI. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: V Kiron PV George Source Type: research

Patients with psoriasis have a higher risk of schizophrenia: A systematic review and meta-analysis of observational studies
Conclusion: This systematic review and meta-analysis demonstrated a significantly increased risk of schizophrenia among patients with psoriasis. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: P Ungprasert K Wijarnpreecha W Cheungpasitporn Source Type: research

Relationship between body mass index and percentage of body fat, estimated by bio-electrical impedance among adult females in a rural community of North India: A cross-sectional study
Conclusions: In this population, we have found strong correlation between BMI and BF% particularly at higher level of BMI and in younger females. There is need to conduct more robust prospective longitudinal studies to assess BF%, which is a better predictor of cardiovascular morbidity and mortality. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: P Misra AK Singh S Archana A Lohiya S Kant Source Type: research

& #8216;Shining a light on invisibles & #8217;: Specific learning disabilities and Universal Health Coverage
C LahariyaJournal of Postgraduate Medicine 2019 65(3):132-133 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: C Lahariya Source Type: research

Predatory journals- Can we stem the rot ?
NJ Gogtay, SB BavdekarJournal of Postgraduate Medicine 2019 65(3):129-131 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 18, 2019 Category: Internal Medicine Authors: NJ Gogtay SB Bavdekar Source Type: research

Transoral thyroidectomy- Breaking new grounds ? ?
PS PaiJournal of Postgraduate Medicine 2019 65(2):72-73 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: PS Pai Source Type: research

Silent uterine rupture: Resident & #39;s dilemma and lessons learnt
MP TiggaJournal of Postgraduate Medicine 2019 65(2):127-128 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: MP Tigga Source Type: research

Topical moxifloxacin-induced toxic epidermal necrolysis and Stevens-Johnson syndrome
A Dhavaleshwar, V Nayak, M Hande, R PaiJournal of Postgraduate Medicine 2019 65(2):125-126 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: A Dhavaleshwar V Nayak M Hande R Pai Source Type: research

Sodium thiosulfate dressings facilitate healing of refractory cutaneous ulcers of calcinosis cutis
S Karthik, A Bhatt, T BabuJournal of Postgraduate Medicine 2019 65(2):123-124 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: S Karthik A Bhatt T Babu Source Type: research

Solitary neurofibroma of seminal vesicle
S Rajaian, AS Paulraj, L MurugesanJournal of Postgraduate Medicine 2019 65(2):121-122 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: S Rajaian AS Paulraj L Murugesan Source Type: research

Incidentally diagnosed fetus compressus on placental examination
MV Chikhale, P PradhanJournal of Postgraduate Medicine 2019 65(2):119-120 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: MV Chikhale P Pradhan Source Type: research

Mineralizing angiopathy presenting with recurrence of basal ganglia stroke following minor head trauma
We report a 2-year-old boy who developed recurrence of basal ganglia stroke after a latency of 18 months from the time of first unrecognized insult at 6 months of age. The case brings forth the need to recognize the condition of basal ganglia stroke secondary to mineralizing angiopathy considering the risk of recurrence to occur as far as 18 months after the first stroke. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: H Bhardwaj M Swami A Singh JS Kaushik Source Type: research

Recurrent Takotsubo cardiomyopathy in a postmenopausal Indian lady: Is there a pattern ?
We present a case of recurrent TTC in a postmenopausal Indian lady who had a similar clinical presentation both at the index event and at recurrence. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: NM Sharath Babu ST Chacko BR Chacko A Irodi Source Type: research

Isolated open comminuted fracture of the first rib
We report a 33-year-old male who presented with an isolated open first rib comminuted fracture following a road traffic accident. He did not have any neurovascular or major organ injuries and was managed successfully with conservative treatment. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: MH Basha KP Singaravelu G Mohana Source Type: research

Central institutional ethics committee needed to facilitate timely review of multicenter clinical trials
BS Desai, AS Dixit, VS GotaJournal of Postgraduate Medicine 2019 65(2):107-109 A multicenter trial in India undergoes review by Institutional Ethics Committees (IECs) of all participating institutions. The failure to obtain approval even from a single institution's IEC creates a situation of inequitable access to clinical trials. The dichotomy in decisions of different IECs is attributed to lack of standardization and accountability in their functioning. The registration of IECs with Central Drugs Standard Control Organization notwithstanding, the current model of IEC review has failed to ensure uniformity in IEC deci...
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: BS Desai AS Dixit VS Gota Source Type: research

Predictors of response to pulmonary rehabilitation in stable chronic obstructive pulmonary disease patients: A prospective cohort study
Conclusions: Poor baseline lung function predicts a short-term improvement in exercise capacity and quality of life in COPD patients, whereas osteoporosis is a negative predictor of PR response. Active search for these factors may help in better patient selection, thus leading to improved outcome after PR. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: S Ragaselvi AK Janmeja D Aggarwal A Sidana P Sood Source Type: research

Comparison of primary arthrodesis versus open reduction with internal fixation for Lisfranc injuries: Systematic review and meta-analysis
Conclusions: For the treatment for Lisfranc injuries, primary arthrodesis was superior to ORIF based on a higher AOFAS score, better return to duty rate, lower postoperative pain, and lower requirement for internal fixation removal. Further evidence from future randomized controlled trials with higher quality and larger sample sizes is needed to confirm these findings. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: PF Han ZL Zhang CL Chen YC Han XC Wei PC Li Source Type: research

Prevalence and correlates of cyberchondria among professionals working in the information technology sector in Chennai, India: A cross-sectional study
Conclusions: Cyberchondria is an emerging public mental health problem in India. Since it is associated with poor mental health, measures need to be adopted to evaluate, prevent, and treat it at the population level. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: S Makarla V Gopichandran D Tondare Source Type: research

Transoral endoscopic thyroidectomy using vestibular approach: A single center experience
Conclusion: Transoral endoscopic thyroidectomy is a safe, feasible, and minimally invasive technique with excellent cosmetic results. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: SA Rege M Janesh S Surpam V Shivane A Arora A Singh Source Type: research

Efficacy of vitamin D supplementation in major depression: A meta-analysis of randomized controlled trials
Conclusion: Vitamin D supplementation favorably impacted depression ratings in major depression with a moderate effect size. These findings must be considered tentative owing to the limited number of trials available and inherent methodological bias noted in few of them. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: F Vellekkatt V Menon Source Type: research

Transoral thyroidectomy- Breaking new grounds
PS PaiJournal of Postgraduate Medicine 2019 65(2):72-73 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: PS Pai Source Type: research

Interpreting the meta-analysis of efficacy of vitamin D supplementation in major depression
L JeyaseelanJournal of Postgraduate Medicine 2019 65(2):70-71 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: L Jeyaseelan Source Type: research

Generic drugs & #8211; The Indian scenario
SS Joshi, YC Shetty, S KarandeJournal of Postgraduate Medicine 2019 65(2):67-69 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 26, 2019 Category: Internal Medicine Authors: SS Joshi YC Shetty S Karande Source Type: research

Listerial meningitis: A diagnostic dilemma
S Jain, S Otta, B Swain, S SahooJournal of Postgraduate Medicine 2019 65(1):64-65 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: S Jain S Otta B Swain S Sahoo Source Type: research

Rosai Dorfman disease and peripheral T-cell lymphoma: A rare co-occurrence
V Tiwari, A Pareek, H Ghori, M AhirwarJournal of Postgraduate Medicine 2019 65(1):62-63 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: V Tiwari A Pareek H Ghori M Ahirwar Source Type: research

Linear focal elastosis localized to bilateral knee of a marathon runner
I Kaur, D Jakhar, SN Bhattacharya, S SharmaJournal of Postgraduate Medicine 2019 65(1):60-61 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: I Kaur D Jakhar SN Bhattacharya S Sharma Source Type: research

Isolated intraluminal ureteral endometriosis mimicking tuberculosis
S Rajaian, M Pragatheeswarane, K Krishnamurthy, SC NarasimhacharJournal of Postgraduate Medicine 2019 65(1):58-59 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: S Rajaian M Pragatheeswarane K Krishnamurthy SC Narasimhachar Source Type: research

A rare complication of cardiac surgery: Ogilvie syndrome
DV Garbuzenko, DV Belov, NO ArefyevJournal of Postgraduate Medicine 2019 65(1):56-57 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: DV Garbuzenko DV Belov NO Arefyev Source Type: research

Fungal fibrosing mediastinitis in pregnancy & #8211; Case report with review of literature
We report the first case of possible aspergillous FM in a young pregnant woman. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: P Vaideeswar J Chaudhari N Goel Source Type: research

Acute hemichorea revealing atrial flutter
We report a case with video documentation of TIA due to permanent atrial flutter presenting as acute left hemichorea. To our knowledge, such a case has not yet been reported. The present case constitutes a crucial diagnostic challenge in neurological practice in order to prevent a high risk of subsequent ischemic stroke. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: B Hebant L Guyant-Marechal D Malt & #234;te R Lefaucheur Source Type: research

Cabergoline treatment in prolactinoma: Amelioration in obstructive and central sleep apneas
M Binar, O Karakoc, C Haymana, H ArslanJournal of Postgraduate Medicine 2019 65(1):47-49 A 44-year-old male patient was admitted to the otolaryngology department with a history of progressive snoring, excessive daytime sleepiness, and reduced libido for the last 6 months. Polysomnography demonstrated the presence of moderate obstructive sleep apnea (OSA) with an apnea-hypopnea index (AHI) of 24.6 events/h, consisting of 77 obstructive and 59 central apneas. The marked number of central apneas in the sleep study and urologic complaints prompted the performance of brain magnetic resonance imaging (MRI), which indicated a pi...
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: M Binar O Karakoc C Haymana H Arslan Source Type: research

Synchronous renal cell carcinoma and pheochromocytoma presenting as acute decompensated heart failure
We report a 49-year-old woman who presented with a hypertensive crisis and acute heart failure and reduced left ventricular systolic function. An abdominal ultrasonography revealed a huge lobulated heterogeneous mass at the lower pole of the right kidney and a mass over the left suprarenal area, which were further delineated by magnetic resonance imaging. The patient underwent laparoscopic right radical nephrectomy and left adrenalectomy. Histopathological analysis confirmed the diagnoses of clear cell renal cell carcinoma of the right kidney with metastasis to the lung; and atypical pheochromocytoma of the left adrenal gl...
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: HH Chen ST Wu YC Lin CS Lin Source Type: research

Emphysematous osteomyelitis caused by Salmonella typhi in beta thalassemia major
We present a case of emphysematous osteomyelitis caused by Salmonella typhi in a 29-year-old beta thalassemia major patient. Diagnosis of emphysematous osteomyelitis was confirmed by computed tomography and magnetic resonance imaging, and culture of pus drained during surgical debridement confirmed the causative microorganism, Salmonella typhi. Antimicrobials were given according to microbiological sensitivity for a period of 8 weeks. Our patient also received hyperbaric oxygen therapy. At the end of therapy, he was afebrile and laboratory parameters normalized with a residual joint deformity which developed within 3 month...
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: PN Doctor M Verma A Varaiya RH Merchant Source Type: research

An unusual cause of respiratory distress
We present a toddler with iatrogenic exogenous lipoid pneumonia and highlight clinical and radiological clues that can prompt early recognition of this entity. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: S Rajagopala N Selvam Source Type: research

Brain SPECT scans in students with specific learning disability: Preliminary results
Conclusion: Brain SPECT scan may serve as a robust tool to identify changes in regional brain perfusion in students with SpLD. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: S Karande N Deshmukh V Rangarajan A Agrawal R Sholapurwala Source Type: research

A prospective study of evaluation of operative duration as a predictor of mortality in pediatric emergency surgery: Concept of 100 minutes laparotomy in resource-limited setting
Conclusion: This 100-min duration of laparotomy might appear a long duration but in casualty setup of a government hospital with limited resources, there are so many hurdles for optimal working that completion of an emergency laparotomy in children in 100 min can be considered a realistic target for improving post-operative outcome. At an operative duration of <123.50 min, mortality rates within acceptable limits can be achieved. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: SM Kaushal-Deep R Ahmad M Lodhi RS Chana Source Type: research

Polycystic ovary syndrome (PCOS) and kisspeptin & #8211; A Sri Lankan study
Conclusion: Serum kisspeptin levels are higher in Sri Lankan women with PCOS manifesting from adolescence compared with controls regardless of body mass index. We propose serum kisspeptin concentration as a useful marker to recognize PCOS that manifests from adolescence. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: B Umayal SN Jayakody NV Chandrasekharan W SS Wijesundera CN Wijeyaratne Source Type: research

Unconditional probability of dying and age-specific mortality rate because of major non-communicable diseases in India: Time trends from 2001 to 2013
Conclusion: Although India has shown a decreasing trend in premature mortality because of NCDs in the past decade, the rate of decrease is not on par to achieve the global “25 × 25” target. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: MM Reddy SS Kar Source Type: research

Brain SPECT scans: A promising research tool for specific learning disability
Z Meng, D SunJournal of Postgraduate Medicine 2019 65(1):9-10 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 28, 2019 Category: Internal Medicine Authors: Z Meng D Sun Source Type: research