Saphenous vein graft aneurysm & #8211; Unusual cause of hemoptysis: A case report and review of literature
BJ Khan, U Khanolkar, V Raj, KG AshokJournal of Postgraduate Medicine 2020 66(3):165-168 Hemoptysis due to saphenous venous graft (SVG) aneurysm is an extremely rare condition and published literature has described the role of conservative management, surgical resection, and covered stent. Here, we report a successful placement of a covered stent for SVG aneurysm in a 56-year-old male who presented with hemoptysis. He was a known diabetic and had undergone a coronary artery bypass grafting 5 years ago. Computed tomography (CT) chest and fiberoptic bronchoscopy performed in another local hospital had revealed blood in the ...
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: BJ Khan U Khanolkar V Raj KG Ashok Source Type: research

Plus-minus lid syndrome with ataxia and severe apathy & #8212;A rare manifestation of midbrain infarct
S Sheetal, R Thomas, AS Kumar, LG TomyJournal of Postgraduate Medicine 2020 66(3):162-164 Plus-minus lid syndrome is a rare manifestation of midbrain infarct, characterized by ptosis of one eye and lid retraction in the other eye. It has also been described in ocular myasthenia gravis, orbital myositis, or after lesions of the oculomotor nerve. Our patient was a 55-year-old man with hypertension and atrial fibrillation, who presented to us with acute onset left-sided ptosis and right-sided eyelid retraction. He was apathic and had right-sided ataxia. His MRI of the brain showed acute infarct involving the paramedian midbr...
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: S Sheetal R Thomas AS Kumar LG Tomy Source Type: research

Ablation of atrioventricular-nodal-reentrant- tachycardia in a patient with left-sided superior vena cava and dilated coronary sinus
SA Deshpande, AR UdyavarJournal of Postgraduate Medicine 2020 66(3):159-161 Atrioventricular (AV)-nodal-reentrant-tachycardia is a rare association in a patient with persistent left-sided superior vena cava and dilated coronary sinus. There are a few inherent difficulties in ablation in this condition, viz., difficulty in localization of good site for ablation and difficulty in stabilization of the ablation catheter at the designated site, making it difficult to produce transmural lesions and increasing risk of producing AV block. We hereby present a case highlighting the difficulties and possible solutions for them. (Sou...
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: SA Deshpande AR Udyavar Source Type: research

Pulmonary microvascular metastases in cervical carcinoma: A case series
P Vaideeswar, Y Aswani, S Damani, S SingaravelJournal of Postgraduate Medicine 2020 66(3):155-158 Pulmonary microvascular tumor embolism (PMTE), pulmonary tumor thrombotic microangiopathy (PTTM), and lymphangitis carcinomatosis (LC) have an intricate pathophysiology and usually occur with cancers of breast, stomach, and lung. Microvascular pulmonary metastases attributable to cervical cancer are a rarity. Clinical presentation and autopsy findings of patients with microvascular pulmonary metastases in cervical cancers were studied with a review of literature. Four patients (mean age of 55.5 years) with carcinoma cervix sh...
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: P Vaideeswar Y Aswani S Damani S Singaravel Source Type: research

Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies
This article aims to present a comprehensive review of workplace violence against doctors, discussing the prevalence, degree of violence, predictors, impact on physical and psychological health and intervention strategies to devise practical actions against workplace violence. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: A Kumari T Kaur P Ranjan S Chopra S Sarkar U Baitha Source Type: research

Willingness to quit tobacco and its correlates among Indian tobacco users & #8212;Findings from the Global Adult Tobacco Survey India, 2016 & #8211;17
Conclusion: Enhanced publicizing of anti-tobacco messages through the currently employed media, and ensuring that doctors give a brief advice to quit during any contact with a tobacco user could improve the willingness to quit and the consequent quit rate, especially among those tobacco users who are in younger age groups and who have attempted to quit earlier. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: SS Kar P Sivanantham T Rehman P Chinnakali S Thiagarajan Source Type: research

Respectful maternity care during childbirth in India: A systematic review and meta-analysis
Conclusion: The high prevalence of disrespectful maternity care indicates an urgent need to improve maternity care in India by making it more respectful, dignified, and women-centered. Interventions, policies, and programs should be implemented that will protect the fundamental rights of women. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: H Ansari R Yeravdekar Source Type: research

Impact of oxygen therapy algorithm on oxygen usage in the emergency department
Conclusion: The implementation of an oxygen therapy algorithm significantly reduces inappropriate oxygen use and decreases treatment cost to the patient with no additional mortality risk. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: KP Abhilash H Acharya J Dua S Kumar B Selvaraj G Priya Source Type: research

Send a & #8216;good camel & #8217; to the tent: Health system responsiveness to advance universal health coverage
C LahariyaJournal of Postgraduate Medicine 2020 66(3):125-127 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: C Lahariya Source Type: research

Use and misuse of oxygen administration
GA Marraro, C SpadaJournal of Postgraduate Medicine 2020 66(3):123-124 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: GA Marraro C Spada Source Type: research

Ethics committees: Actions during pandemic and lockdown situations
SB BavdekarJournal of Postgraduate Medicine 2020 66(3):119-122 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - July 13, 2020 Category: Internal Medicine Authors: SB Bavdekar Source Type: research

Erratum: The peculiar case of a blue man
Journal of Postgraduate Medicine 2020 66(2):118-118 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - March 31, 2020 Category: Internal Medicine Source Type: research

Erratum: Laron syndrome
Journal of Postgraduate Medicine 2020 66(2):118-118 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - March 31, 2020 Category: Internal Medicine Source Type: research

Erratum: Facial cutaneous metastases of advanced rectal malignancy masquerading as lip cancer
Journal of Postgraduate Medicine 2020 66(2):117-117 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - March 31, 2020 Category: Internal Medicine Source Type: research

Erratum: Systemic lupus erythematosus presenting as acute lupus pneumonitis in a young female
Journal of Postgraduate Medicine 2020 66(2):117-117 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - March 31, 2020 Category: Internal Medicine Source Type: research