Anticipating 3rd COVID Wave: If we Sweat in Peace, Less we Bleed in War
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585880 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Mangesh Tiwaskar Agam Vora Source Type: research

Analysis of COVID Deaths: A single Centre Experience in Mumbai Medical College
CONCLUSIONS: COVID 19 affects people of all age groups and gender. It neither spares people with comorbidities nor those without any comorbidities. There is no specific therapy for its treatment. Hence Vaccination, and use of masks, social distancing and sanitization are the policies which will help in the long run.PMID:34585881 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Vikram Londhey Neelam Redkar Sanjay Gulhane Sameer Yadav Faisal Memon Prakash Relwani Harshal Joshi Source Type: research

Clinical Spectrum of COVID-19 Cases and their Correlation with S.LDH Levels- An Observational Study from Southeast Rajasthan
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTINTRODUCTION AND BACKGROUND: The novel coronavirus or commonly referred to as the covid-19, has been a threat to the global health as well as the world economy. It all started from the Wuhan city of china in December 2019, when a cluster of pneumonia cases with severe acute respiratory symptoms were reported with unknown etiology, majority of cases linked to the exposure to wholesale seafood market in Hunan. On January 7th, after the nomenclature of this causative agent was done as Corona Virus Disease 2019, COVID19, the struggles to combat and try to control this illn...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Deepak Gupta Ramavtar Sharma Bhalachandra Patwardhan Rajendra Dutt Mathur Source Type: research

Chest Computed Tomography (CT) Severity Score Assessment to Explore Association between Tuberculosis and COVID-19 Pneumonia for Assessing the TB Bulwark against Moderate to Severe COVID-19 Infection
CONCLUSIONS: Patients with active or past history of TB are less prone to develop moderate or severe form of Covid-19 pneumonia. It may be the reason for less mortality in health resource poor India as compared to Europe or America.PMID:34585883 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Rajaram Sharma Sambhav Lodha Ritu Mehta Sunil Chugh Girish Mathur Source Type: research

Study of COVID-19 Infection, its Severity and Outcome in COVID-19 Vaccinated People at Tertiary Health Care Center, North West Rajasthan
CONCLUSION: After 2nd dose of vaccine there is a significant risk reduction in need of hospitalization and getting severe infection and mortality when compared with first dose only.PMID:34585884 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Aman Thathai Rekha Gahlot Narendra Kumar Gahlot Ravindra B Man Mahendra Singh Prem Prakash Virendra Pal Singh Hardik Bajaj Aditya Kochar Sanjay Kumar Kochar Source Type: research

An Epidemiological Case Control Multi-centre Trial on Cerebral Venous Sinus Thrombosis in Western Maharashtra, India
CONCLUSION: The results of this study confirm nutritional deficiencies in patients of CSVT and it begs the question of whether nutrition in any way is causal in CSVT. Larger multi-centric trials will help establishing causality. The study also shows that routine evaluation of thrombophilia factors and immunological tests are not necessary in CSVT.PMID:34585885 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Anand Alurkar Rajani Amin Pradeep Divate Suyog Doshi Soma Das Nasali Ichaporia Rahul Kulkarni Satish Nirhale Shripad Pujari Arati Ranade Hemant Sant Mangesh Udar Rustom Wadia Source Type: research

Low Serum Testosterone Levels in Male Patients with Type 2 Diabetes Mellitus as a Risk Factor for Coronary Artery Disease
CONCLUSION: There is a higher risk of coronary artery disease in male patients with T2DM and hypogonadism as compared to males with T2DM and eugonadal status.PMID:34585886 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Manoj Saluja Vishwas Galav Drishya Pillai Saurabh Chittora Source Type: research

Beneficial Primary Outcomes of Metabolic Surgery with Changes in Telomere Length and Mitochondrial DNA in Obese Asian Indians with Dysglycemia
CONCLUSION: We report an increase in telomere length and decrease in circulatory mtDNA copy number levels at 6 and 12 months post metabolic surgery in obese individuals with T2DM in India.PMID:34585887 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Sundaramoorthy Chandru Paramasivam Prabhu Muthuswamy Balasubramanyam Radhakrishnan Subhashini Mangesh Tiwaskar Thyparambil Aravindakshan Pramodkumar Rajendra Pradeepa Ranjit Mohan Anjana Viswanathan Mohan Source Type: research

Validation of the OPtimal Treatment of Angina (OPTA) Questionnaire in Indian Patients with Chronic Stable Angina
CONCLUSION: The newly developed 5-item questionnaire demonstrated content and face validity, suggesting it to be a potential instrument to improve management decision and care of angina patients in India.PMID:34585888 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Uday Jadhav Tiny Nair P B Jayagopal Brian Pinto Sameer Srivastava Prasant Kr Sahoo Deepak Davidson Source Type: research

Colonoscopic findings in Patients of Portal Hypertension Due to Different Etiologies and their Correlation
CONCLUSION: Patients with portal hypertension due to any etiology have significantly higher frequency of colonic lesions as severity of liver disease increases indicated by worsening CTP and MELD scores. Inspite of large number of lower GI manifestations of Portal Hypertension seen in our patients none had significant life threatening lower GI bleeds. So it can be concluded that only upper GI manifestation of Portal Hypertension are clinically significant.PMID:34585889 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Vipin Mathur Gurdeep Kaur Rajesh Kumar Prajapat Sanjay Parmar None Poonam Source Type: research

Clinical Profile and Treatment Outcome in Scrub Typhus Patients in Central India
CONCLUSION: Scrub typhus has become a leading infectious disease in central India and an important cause of infectious fever. An increasing awareness of this disease coupled with prompt management will go a long way in reducing both morbidity and mortality from this disease.PMID:34585890 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Yogendra V Bansod Archana A Aher Pragati Bhole Karthik Rengaraj Prasad Jadhav Source Type: research

Melioidosis: A 5-year Review from a Single Institution in Pondicherry
CONCLUSION: Three centres from Pondicherry have reported melioidosis; this study had the most significant reported number of cases from a single institution in Pondicherry. The mapping of our patients resulted in probable evidence of melioidosis in six other districts of Tamil Nadu. Since the Indian population is at high risk because of diabetes, and melioidosis can mimic tuberculosis, increased awareness among physicians is a must to diagnose and treat this disease with high mortality.PMID:34585891 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Gadadhar Sharma Stalin Viswanathan Source Type: research

Management of Hyperglycemia in COVID-19 and Post-COVID-19 Syndrome - Proposed Guidelines for India
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTSARS-CoV-2 virus spread rapidly all over the globe in 2020 and the second wave has taken our nation, India by storm. The pandemic has posed unique challenges in people with metabolic disorders, including diabetes, hypertension, obesity, pulmonary, cardiovascular, kidney and non-alcoholic fatty liver disease. Uncontrolled diabetes, in conjunction with endocrine, inflammatory and metabolic effects of the infection itself has made management of hyperglycemia in COVID-19 infection particularly challenging. Furthermore, the post-COVID-19 syndrome has also emerged as a seque...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Arun Nanditha Arun Raghavan Anoop Misra Banshi Saboo Awadhesh Kumar Singh Shashank R Joshi Sanjay Agarwal Nikhil Tandon Mangesh Tiwaskar Sosale R Aravind Ambady Ramachandran Source Type: research

Roadmap for the Management of Acute Undifferentiated Febrile Illness: An Expert Discussion and Review of Available Guidelines
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTAcute undifferentiated febrile illnesses (AUFIs) are associated with specific characterizations like fever of less than two weeks' duration with no organ-specific symptoms at onset. These range from mild and self-limiting disease to progressive, life-threatening illness. Acute undifferentiated febrile illnesses are classified into malaria and non-malarial illnesses on the basis of microscopy or malariadiagnostic tests. Various challenges, such as comorbidities, geriatrics, pregnancy, and immune-compromised profile of the patient, impede the treatment regimen. Identifyi...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Shashank Joshi Gifty Immanuel S Arulrhaj Mangesh Tiwaskar Agam Vora Srinivas Samavedam Source Type: research

A Case of Crouzon Syndrome
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585894 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Shiji Pv Raveendran Av Shajith Sadanandan Sreekumar S Source Type: research

Refractory Autoimmune Hematological Presentations of Undiagnosed Tuberculosis
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTFour patients who presented with autoimmune cytopenias as the sole manifestation of undiagnosed tuberculosis are described here. These were refractory to conventional immunosuppressive therapy and responded dramatically to treatment of the infection. The potential association between tuberculosis and immune hematological conditions is highlighted. Literature is reviewed with respect to possible pathogenetic mechanisms. Clinicians need to be aware of this type of unusual presentation of tuberculosis and must consider this chronic bacterial infection as a potential cause...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Parameswaran Anoop Channappa N Patil Rajeeva Moger Swarna Shivakumar Rohan K Aurangabadwala Ravindra Mehta Source Type: research

Gaisbock's Syndrome: A Case Study
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTA 73-year-old hypertensive was found to have new-onset polycythemia during his routine health check up. A workup revealed no evidence of polycythemia rubra vera or a secondary cause of his polycythemia (his erythropoietin level was normal, he had no splenomegaly, and a test for JAK2 v617F mutation was negative). Over the next year of follow up, his hematological profile returned to normal levels. We conclude that this patient had Gaisbock's syndrome, a relative polycythemia that occurs when there is clinically evident contraction of the intravascular fluid space (plasm...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Sanjiv Rao Mallikarjun Kalashetty D Venkateswarlu Source Type: research

Current Role of Dapagliflozin in Clinical Practice
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTDapagliflozin is the first in a novel class of glucose-lowering agents known as sodium-glucose co-transporter-2 (SGLT2) inhibitors which was approved by USFDA in management of type 2 diabetes mellitus (T2DM) as an adjunct to diet and exercise to improve glycemic control in adults initially, followed by to reduce the risk of hospitalization for heart failure (HHF) in adults with T2DM and established cardiovascular disease or multiple cardiovascular risk factors. Most recently, it is approved to reduce the risk of cardiovascular death and in adults with heart failure (HF...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Abdul Hamid Zargar Abhijit Anil Trailokya Suraj Ghag Roshan Pawar Amol Aiwale Ashish Zalke Source Type: research

Probiotics & amp; Prebiotics
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585898 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Jayant Pai-Dhungat Pai-Dhungat Source Type: research

Expert Opinion on Usage of Pidotimod in Adult Patients with Chronic Obstructive Pulmonary Disease: An Indian Perspective
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTIndia has a disproportionately high burden of acute and chronic pulmonary diseases. In India, 65 million suffer from non-communicable respiratory diseases. The outbreak of the novel coronavirus disease 2019 (COVID-19) had worsened the situation. Patients affected with COVID-19 with a previous history of comorbidities, such as COPD and chronic lung diseases, had the worst prognosis, resulting in adverse outcomes, such as acute respiratory distress syndrome (ARDS) and pneumonia. Immune modulation strategies have since gained a lot of traction amongst practitioners. Modul...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Ashok Mahashur Agam Vora Pradyut Waghray S Z Jafrey Archana Karadkhele Snehal Muchhala Rahul Rathod Viraj Suvarna Source Type: research

Sentinel Surveillance of Dengue Virus Infection in a Tribal District of Maharashtra, India
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585900 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Itta Krishna Chaaithanya Ragini Kulkarni Neha Salvi Kavita Amole Nahire Nitesh Niresh Kantela Sagar Patil Sanjay Chauhan Source Type: research

Spinal Intramedullary Neurocysticercosis An Unusual Cause of Paraparesis
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585901 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Divya M Radhakrishnan Ankith Bhasi Saurya Saurya Ritu Shree Niraj Kumar Source Type: research

Upper Gastrointestinal Bleed in Acute Mercury Chloride Poisoning
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585902 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Pazhanivel Mohan Source Type: research

Ayurveda and Dietary Modification for T2DM Management
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585903 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Sane Rohit Amin Gurudatta Dawkhar Suhas Mandole Rahul Source Type: research

Chronic Inflammatory Demyelinating Polyneuropathy with Diabetes, Crohn's disease and multiple co-infections: A Clinical Quandry
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585904 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Shubha Laxmi Margekar Mayanglambam Sonika Devi Priya Bansal Anshuman Srivastava Ramesh Aggarwal Alvee Saluja Rajinder K Dhamija Source Type: research

Acquisition of Clinical Skills During COVID-19 Pandemic: Medical Interns' Perspective
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585905 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Yajur Arya Arshi Syal Monica Gupta Sarabmeet Singh Lehl Pulak Syal Source Type: research

Anticipating 3rd COVID Wave: If we Sweat in Peace, Less we Bleed in War
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585880 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Mangesh Tiwaskar Agam Vora Source Type: research

Analysis of COVID Deaths: A single Centre Experience in Mumbai Medical College
CONCLUSIONS: COVID 19 affects people of all age groups and gender. It neither spares people with comorbidities nor those without any comorbidities. There is no specific therapy for its treatment. Hence Vaccination, and use of masks, social distancing and sanitization are the policies which will help in the long run.PMID:34585881 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Vikram Londhey Neelam Redkar Sanjay Gulhane Sameer Yadav Faisal Memon Prakash Relwani Harshal Joshi Source Type: research

Clinical Spectrum of COVID-19 Cases and their Correlation with S.LDH Levels- An Observational Study from Southeast Rajasthan
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTINTRODUCTION AND BACKGROUND: The novel coronavirus or commonly referred to as the covid-19, has been a threat to the global health as well as the world economy. It all started from the Wuhan city of china in December 2019, when a cluster of pneumonia cases with severe acute respiratory symptoms were reported with unknown etiology, majority of cases linked to the exposure to wholesale seafood market in Hunan. On January 7th, after the nomenclature of this causative agent was done as Corona Virus Disease 2019, COVID19, the struggles to combat and try to control this illn...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Deepak Gupta Ramavtar Sharma Bhalachandra Patwardhan Rajendra Dutt Mathur Source Type: research

Chest Computed Tomography (CT) Severity Score Assessment to Explore Association between Tuberculosis and COVID-19 Pneumonia for Assessing the TB Bulwark against Moderate to Severe COVID-19 Infection
CONCLUSIONS: Patients with active or past history of TB are less prone to develop moderate or severe form of Covid-19 pneumonia. It may be the reason for less mortality in health resource poor India as compared to Europe or America.PMID:34585883 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Rajaram Sharma Sambhav Lodha Ritu Mehta Sunil Chugh Girish Mathur Source Type: research

Study of COVID-19 Infection, its Severity and Outcome in COVID-19 Vaccinated People at Tertiary Health Care Center, North West Rajasthan
CONCLUSION: After 2nd dose of vaccine there is a significant risk reduction in need of hospitalization and getting severe infection and mortality when compared with first dose only.PMID:34585884 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Aman Thathai Rekha Gahlot Narendra Kumar Gahlot Ravindra B Man Mahendra Singh Prem Prakash Virendra Pal Singh Hardik Bajaj Aditya Kochar Sanjay Kumar Kochar Source Type: research

An Epidemiological Case Control Multi-centre Trial on Cerebral Venous Sinus Thrombosis in Western Maharashtra, India
CONCLUSION: The results of this study confirm nutritional deficiencies in patients of CSVT and it begs the question of whether nutrition in any way is causal in CSVT. Larger multi-centric trials will help establishing causality. The study also shows that routine evaluation of thrombophilia factors and immunological tests are not necessary in CSVT.PMID:34585885 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Anand Alurkar Rajani Amin Pradeep Divate Suyog Doshi Soma Das Nasali Ichaporia Rahul Kulkarni Satish Nirhale Shripad Pujari Arati Ranade Hemant Sant Mangesh Udar Rustom Wadia Source Type: research

Low Serum Testosterone Levels in Male Patients with Type 2 Diabetes Mellitus as a Risk Factor for Coronary Artery Disease
CONCLUSION: There is a higher risk of coronary artery disease in male patients with T2DM and hypogonadism as compared to males with T2DM and eugonadal status.PMID:34585886 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Manoj Saluja Vishwas Galav Drishya Pillai Saurabh Chittora Source Type: research

Beneficial Primary Outcomes of Metabolic Surgery with Changes in Telomere Length and Mitochondrial DNA in Obese Asian Indians with Dysglycemia
CONCLUSION: We report an increase in telomere length and decrease in circulatory mtDNA copy number levels at 6 and 12 months post metabolic surgery in obese individuals with T2DM in India.PMID:34585887 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Sundaramoorthy Chandru Paramasivam Prabhu Muthuswamy Balasubramanyam Radhakrishnan Subhashini Mangesh Tiwaskar Thyparambil Aravindakshan Pramodkumar Rajendra Pradeepa Ranjit Mohan Anjana Viswanathan Mohan Source Type: research

Validation of the OPtimal Treatment of Angina (OPTA) Questionnaire in Indian Patients with Chronic Stable Angina
CONCLUSION: The newly developed 5-item questionnaire demonstrated content and face validity, suggesting it to be a potential instrument to improve management decision and care of angina patients in India.PMID:34585888 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Uday Jadhav Tiny Nair P B Jayagopal Brian Pinto Sameer Srivastava Prasant Kr Sahoo Deepak Davidson Source Type: research

Colonoscopic findings in Patients of Portal Hypertension Due to Different Etiologies and their Correlation
CONCLUSION: Patients with portal hypertension due to any etiology have significantly higher frequency of colonic lesions as severity of liver disease increases indicated by worsening CTP and MELD scores. Inspite of large number of lower GI manifestations of Portal Hypertension seen in our patients none had significant life threatening lower GI bleeds. So it can be concluded that only upper GI manifestation of Portal Hypertension are clinically significant.PMID:34585889 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Vipin Mathur Gurdeep Kaur Rajesh Kumar Prajapat Sanjay Parmar None Poonam Source Type: research

Clinical Profile and Treatment Outcome in Scrub Typhus Patients in Central India
CONCLUSION: Scrub typhus has become a leading infectious disease in central India and an important cause of infectious fever. An increasing awareness of this disease coupled with prompt management will go a long way in reducing both morbidity and mortality from this disease.PMID:34585890 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Yogendra V Bansod Archana A Aher Pragati Bhole Karthik Rengaraj Prasad Jadhav Source Type: research

Melioidosis: A 5-year Review from a Single Institution in Pondicherry
CONCLUSION: Three centres from Pondicherry have reported melioidosis; this study had the most significant reported number of cases from a single institution in Pondicherry. The mapping of our patients resulted in probable evidence of melioidosis in six other districts of Tamil Nadu. Since the Indian population is at high risk because of diabetes, and melioidosis can mimic tuberculosis, increased awareness among physicians is a must to diagnose and treat this disease with high mortality.PMID:34585891 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Gadadhar Sharma Stalin Viswanathan Source Type: research

Management of Hyperglycemia in COVID-19 and Post-COVID-19 Syndrome - Proposed Guidelines for India
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTSARS-CoV-2 virus spread rapidly all over the globe in 2020 and the second wave has taken our nation, India by storm. The pandemic has posed unique challenges in people with metabolic disorders, including diabetes, hypertension, obesity, pulmonary, cardiovascular, kidney and non-alcoholic fatty liver disease. Uncontrolled diabetes, in conjunction with endocrine, inflammatory and metabolic effects of the infection itself has made management of hyperglycemia in COVID-19 infection particularly challenging. Furthermore, the post-COVID-19 syndrome has also emerged as a seque...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Arun Nanditha Arun Raghavan Anoop Misra Banshi Saboo Awadhesh Kumar Singh Shashank R Joshi Sanjay Agarwal Nikhil Tandon Mangesh Tiwaskar Sosale R Aravind Ambady Ramachandran Source Type: research

Roadmap for the Management of Acute Undifferentiated Febrile Illness: An Expert Discussion and Review of Available Guidelines
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTAcute undifferentiated febrile illnesses (AUFIs) are associated with specific characterizations like fever of less than two weeks' duration with no organ-specific symptoms at onset. These range from mild and self-limiting disease to progressive, life-threatening illness. Acute undifferentiated febrile illnesses are classified into malaria and non-malarial illnesses on the basis of microscopy or malariadiagnostic tests. Various challenges, such as comorbidities, geriatrics, pregnancy, and immune-compromised profile of the patient, impede the treatment regimen. Identifyi...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Shashank Joshi Gifty Immanuel S Arulrhaj Mangesh Tiwaskar Agam Vora Srinivas Samavedam Source Type: research

A Case of Crouzon Syndrome
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585894 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Shiji Pv Raveendran Av Shajith Sadanandan Sreekumar S Source Type: research

Refractory Autoimmune Hematological Presentations of Undiagnosed Tuberculosis
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTFour patients who presented with autoimmune cytopenias as the sole manifestation of undiagnosed tuberculosis are described here. These were refractory to conventional immunosuppressive therapy and responded dramatically to treatment of the infection. The potential association between tuberculosis and immune hematological conditions is highlighted. Literature is reviewed with respect to possible pathogenetic mechanisms. Clinicians need to be aware of this type of unusual presentation of tuberculosis and must consider this chronic bacterial infection as a potential cause...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Parameswaran Anoop Channappa N Patil Rajeeva Moger Swarna Shivakumar Rohan K Aurangabadwala Ravindra Mehta Source Type: research

Gaisbock's Syndrome: A Case Study
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTA 73-year-old hypertensive was found to have new-onset polycythemia during his routine health check up. A workup revealed no evidence of polycythemia rubra vera or a secondary cause of his polycythemia (his erythropoietin level was normal, he had no splenomegaly, and a test for JAK2 v617F mutation was negative). Over the next year of follow up, his hematological profile returned to normal levels. We conclude that this patient had Gaisbock's syndrome, a relative polycythemia that occurs when there is clinically evident contraction of the intravascular fluid space (plasm...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Sanjiv Rao Mallikarjun Kalashetty D Venkateswarlu Source Type: research

Current Role of Dapagliflozin in Clinical Practice
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTDapagliflozin is the first in a novel class of glucose-lowering agents known as sodium-glucose co-transporter-2 (SGLT2) inhibitors which was approved by USFDA in management of type 2 diabetes mellitus (T2DM) as an adjunct to diet and exercise to improve glycemic control in adults initially, followed by to reduce the risk of hospitalization for heart failure (HHF) in adults with T2DM and established cardiovascular disease or multiple cardiovascular risk factors. Most recently, it is approved to reduce the risk of cardiovascular death and in adults with heart failure (HF...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Abdul Hamid Zargar Abhijit Anil Trailokya Suraj Ghag Roshan Pawar Amol Aiwale Ashish Zalke Source Type: research

Probiotics & amp; Prebiotics
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585898 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Jayant Pai-Dhungat Pai-Dhungat Source Type: research

Expert Opinion on Usage of Pidotimod in Adult Patients with Chronic Obstructive Pulmonary Disease: An Indian Perspective
J Assoc Physicians India. 2021 Sep;69(9):11-12.ABSTRACTIndia has a disproportionately high burden of acute and chronic pulmonary diseases. In India, 65 million suffer from non-communicable respiratory diseases. The outbreak of the novel coronavirus disease 2019 (COVID-19) had worsened the situation. Patients affected with COVID-19 with a previous history of comorbidities, such as COPD and chronic lung diseases, had the worst prognosis, resulting in adverse outcomes, such as acute respiratory distress syndrome (ARDS) and pneumonia. Immune modulation strategies have since gained a lot of traction amongst practitioners. Modul...
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Ashok Mahashur Agam Vora Pradyut Waghray S Z Jafrey Archana Karadkhele Snehal Muchhala Rahul Rathod Viraj Suvarna Source Type: research

Sentinel Surveillance of Dengue Virus Infection in a Tribal District of Maharashtra, India
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585900 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Itta Krishna Chaaithanya Ragini Kulkarni Neha Salvi Kavita Amole Nahire Nitesh Niresh Kantela Sagar Patil Sanjay Chauhan Source Type: research

Spinal Intramedullary Neurocysticercosis An Unusual Cause of Paraparesis
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585901 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Divya M Radhakrishnan Ankith Bhasi Saurya Saurya Ritu Shree Niraj Kumar Source Type: research

Upper Gastrointestinal Bleed in Acute Mercury Chloride Poisoning
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585902 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Pazhanivel Mohan Source Type: research

Ayurveda and Dietary Modification for T2DM Management
J Assoc Physicians India. 2021 Sep;69(9):11-12.NO ABSTRACTPMID:34585903 (Source: Journal of the Association of Physicians of India)
Source: Journal of the Association of Physicians of India - September 29, 2021 Category: General Medicine Authors: Sane Rohit Amin Gurudatta Dawkhar Suhas Mandole Rahul Source Type: research