Unusually complicated course of a common disease: challenges in managing pediatric HIV
Publication date: Available online 15 July 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Punam Bajracharya, Suprita Kalra, Gitanjali Jain, Amit Sood (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - July 17, 2019 Category: General Medicine Source Type: research

Klippel Feil syndrome with crossed fused renal ectopia with pelviureteric junction obstruction: A rare association
Publication date: Available online 12 July 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Pratyush Chandra Madhur, V. Shankar Raman, Santosh DeyAbstractAn 11-year-old female patient presented with congenital spinal deformity with a history of occasional pain in the right flank for a duration of six months. On evaluation, she was diagnosed to be a case of type III Klippel Feil syndrome (KFS) with crossed fused renal ectopia (left to right) and pelviureteric junction obstruction (PUJO) of the right moiety. The patient underwent successful pyeloplasty of the right moeity. To the best of our knowledge, this is the fi...
Source: Medical Journal Armed Forces India - July 13, 2019 Category: General Medicine Source Type: research

Does pre-procedure ultrasound increase the success and safety of right internal jugular venous catheterization? An intervention study
ConclusionPre-procedure US for RIJV catheterization is safer, quicker and superior to landmark technique. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - July 13, 2019 Category: General Medicine Source Type: research

First trimester obstetric outcome of frozen thawed embryo transfer: does the stage of embryo make any difference?
ConclusionThe blastocyst transfer during FET cycle showed best clinical and ongoing pregnancy rate. So if clinical situations were favorable for blastocyst stage transfer, the same should be preferred for FET cycle. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - July 12, 2019 Category: General Medicine Source Type: research

Correction of hypernatremic dehydration in neonates with supervised breast-feeding: A cross-sectional observational study
ConclusionHypernatremic dehydration can be a serious problem even in term healthy neonates especially in exclusively breast-fed neonates born to primiparous women. Our study shows that quantified oral feeding is effective in successful management of hypernatremic dehydration and not associated with the dreaded CNS complications due to rapid correction. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - July 12, 2019 Category: General Medicine Source Type: research

Hyperglycaemia as a risk factor for the development of retinopathy of prematurity: A cohort study
ConclusionA high average blood glucose level in neonates during the first week of life is an indicator for developing ROP at a later date. These neonates should be kept under close follow up in order to facilitate timely detection and prompt intervention. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - July 11, 2019 Category: General Medicine Source Type: research

Cost-effectiveness of a novel strategy of HIV/AIDS care in Armed Forces: A stochastic model with Monte Carlo simulation
ConclusionArmed Forces are likely to benefit by adopting the novel strategy that is cost-effective with a significant mortality benefit. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - July 11, 2019 Category: General Medicine Source Type: research

Seroprevalence of influenza A H1N1 (swine) infection in the human population in a cantonment
ConclusionBased on high seroprevalence of antibodies against H1N1 virus during pandemic, vaccination of general population is not recommended. However, high-risk groups and HCWs need to be protected with flu vaccine. There is a need to encourage HCWs for accepting vaccination. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - June 6, 2019 Category: General Medicine Source Type: research

Evaluation of nomophobia among medical students using smartphone in north India
Publication date: Available online 3 June 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Janki Bartwal, Bhola NathAbstractBackgroundSmartphone's popularity has risen to such an extent in recent years that it is unimaginable for the people to stay away from it for a minute. The excessive usage has given rise to a condition termed as nomophobia or a feeling of discomfort or anxiety experienced whenever unable to use the smartphone. The aim of this study was to evaluate nomophobia among medical students who are using smartphones.MethodsA cross-sectional study was conducted among the undergraduate medical students. A...
Source: Medical Journal Armed Forces India - June 4, 2019 Category: General Medicine Source Type: research

A study on quality of life among lower limb amputees at a tertiary prosthetic rehabilitation center
ConclusionWhen judging the success or failure of lower limb amputation, the assessment of QoL outcome is paramount. A number of factors need to be taken into consideration to ensure holistic reintegration of the amputees back into the society. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - June 4, 2019 Category: General Medicine Source Type: research

A novel approach for extracting DNA from formalin-fixed paraffin-embedded tissue using microwave
ConclusionDNA extraction from FFPE tissues is an onerous task as irreversible bonds form between the nucleic acid during fixation which are difficult to break during DNA retrieval. Hence, the microwave method provides good total genomic DNA which gives better downstream results when compared with other methods. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - June 4, 2019 Category: General Medicine Source Type: research

Evidence-based adoption of purse-string skin closure for stoma wounds
ConclusionPurse-string skin closure (PSSC) proves efficacious and hence merits adoption as the technique of choice for closure of stoma wounds. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - June 4, 2019 Category: General Medicine Source Type: research

Bannwarth's syndrome and a surgical dilemma: An uncommon zoonosis with a rare presentation
Publication date: Available online 31 May 2019Source: Medical Journal Armed Forces IndiaAuthor(s): R.K. Anadure, Rajeev Saxena, Samaresh Sahu, Ameet Kumar, L. PraveenAbstractLyme's disease also known as Erythema chronicum Migrans, is a multisystem infectious disease caused by the spirochete “Borrelia burgdorferi” which is transmitted by “Ixodes” tick, with both specific and nonspecific manifestations. Nervous system involvement occurs in 10%–15% of untreated patients and typically involves lymphocytic meningitis, cranial neuritis, and/or polyradiculitis. Here, we are reporting an interesting a...
Source: Medical Journal Armed Forces India - June 1, 2019 Category: General Medicine Source Type: research

Study of platelet indices in pregnancy-induced hypertension
ConclusionThe study concludes that platelet indices are raised in patients who have PIH as compared with normal pregnancies. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - June 1, 2019 Category: General Medicine Source Type: research

Level of work stress and factors associated with bruxism in the military crew of the Peruvian Air Force
ConclusionsThis study showed a statistically significant association between the variable bruxism and the level of work stress between the military aviators of the Peruvian Air Force (p
Source: Medical Journal Armed Forces India - May 31, 2019 Category: General Medicine Source Type: research

Acute kidney injury in the pediatric intensive care unit at a tertiary care hospital of the Armed Forces: a cross-sectional observational study
ConclusionsAKI in children in the PICUs of referral hospitals in the armed forces have varied etiologies and presentations. These children require early identification and management with close monitoring to prevent long-term renal morbidity and mortality. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - May 31, 2019 Category: General Medicine Source Type: research

Tear film abnormalities in pseudoexfoliation syndrome and normal healthy participants: A comparative analysis
Publication date: Available online 28 May 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Shukrullah Noori, Alok Sati, P.S. Moulick, Jaya Kaushik, Sandeep Shankar, Rupali BoseAbstractBackgroundPseudoexfoliative material is being implicated in causing tear film abnormalities, and the aim of the present study was to prove it and to compare with the normal healthy participants.MethodsA total of 398 eyes of 200 participants were studied, and two groups were formed. The first, pseudoexfoliation syndrome (PEXS) group, included 198 eyes of 100 patients, and the second, age-matched control group, included 200 eyes of 100 ...
Source: Medical Journal Armed Forces India - May 29, 2019 Category: General Medicine Source Type: research

An unusual case of interventricular septum calcification in tetralogy of fallot with absent pulmonary valve
We report a novel and a serendipitous finding of interventricular septal calcification, in a common case of tetralogy of fallot with absent pulmonary valve in a 13-month old male patient. The patient had a stormy infantile course seeded with multiple episodes of severe wheeze-associated respiratory infection. However, he did well postoperatively. He needs to be followed up closely for septal calcification progression and a remote chance of arrhythmias. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - May 29, 2019 Category: General Medicine Source Type: research

Isolated thyroid hematoma after blunt neck trauma presented with aphonia
We report a 23-year-old male patient who presented with neck swelling and aphonia following a road traffic accident. Contrast-enhanced CT scan showed laceration and hematoma involving left thyroid lobe. The patient underwent left hemithyroidectomy and accomplished complete recovery. A high index of suspicion for thyroid rupture must be maintained when patients presented with voice changes or respiratory distress. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - May 8, 2019 Category: General Medicine Source Type: research

Declining cytomegalovirus retinitis in ART- experienced women from North India
Publication date: Available online 3 May 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Mahima Lall, Subodh Singh, Lalit Dar, Pradeep Venkatesh (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - May 5, 2019 Category: General Medicine Source Type: research

Evaluation of variation of interfraction doses to organs at risk during brachytherapy of cervical cancer
Publication date: Available online 3 May 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Hari Mukundan, Kirti Tyagi, Deboleena Mukherjee, R.K. PatelAbstractBackgroundTwo-dimensional treatment planning using radiographs or simulator films was the standard in planning brachytherapy for patients with cervical cancer. Three-dimensional (3D) treatment planning has improved treatment efficacy. This retrospective study compares conventional and 3D treatment planning of brachytherapy in patients with cervical cancer and interfraction dose variation to bladder and rectum (D2cc).MethodsThe mean doses to bladder and rectum (...
Source: Medical Journal Armed Forces India - May 5, 2019 Category: General Medicine Source Type: research

Games people play: The next-generation addiction
Publication date: April 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 2Author(s): M.S. Bhatia, Aparna Goyal (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - May 2, 2019 Category: General Medicine Source Type: research

Work–rest pattern, alertness and performance assessment among naval personnel deployed at sea: A cross sectional study
ConclusionOur study shows that although the sailors are not getting sufficient restorative sleep while sailing as compared to non-sailing days, this is not affecting their cognitive functioning while working. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 23, 2019 Category: General Medicine Source Type: research

Keeping in pace with the new Biomedical Waste Management Rules: What we need to know!
Publication date: Available online 15 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Gurpreet Singh Bhalla, Kuntal Bandyopadhyay, Kavita SahaiAbstractBiomedical Waste Management Rules were first implemented in our country on 20th July 1998. Thereafter, the rules have undergone periodic updates and amendments in the years 2003 and 2011. Latest Biomedical Waste Management Rules, 2016, and (Amendment) Rules, 2018, were an update and simplification of BMW disposal as compared with the previous version, keeping in pace with the changes in the requirements of the health-care setup. Although exhaustive, numerous m...
Source: Medical Journal Armed Forces India - April 17, 2019 Category: General Medicine Source Type: research

Comparison of electrosurgery by electrodessication versus cryotherapy by liquid nitrogen spray technique in the treatment of plantar warts
ConclusionThis study highlighted that cryotherapy is quick, safe and comparatively painless procedure with less complications with success almost similar to electrosurgery making it more suitable for plantar warts. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 17, 2019 Category: General Medicine Source Type: research

Overreligious beliefs with neuropsychiatric manifestations in a young lady—Rule out Marchiafava–Bignami disease
Publication date: Available online 15 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Vijoy Kumar Jha, Dev Prakash Sharma, Vivek Sharda, Abhilasha KumariAbstractMarchiafava- Bignami disease is a rare condition characterized by demyelination of corpus callosum due to alcohol or malnutrition. Here we report a young lady who, due to her religious beliefs had stopped taking food and presented with neuropsychiatric manifestations. Neuroimaging was suggestive of Marchiafava Bignami disease and with adequate nutritional and thiamine therapy she had dramatic improvement clinically and had near complete resolution of...
Source: Medical Journal Armed Forces India - April 17, 2019 Category: General Medicine Source Type: research

Endothelial corneal transplants: indications, clinical profile and surgical outcomes in a tertiary care hospital
ConclusionStudy results suggest the similar trends in our tertiary care hospital as in other most advanced ophthalmic centers around the world for adoption of newer techniques of lamellar corneal transplants and their outcomes. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 17, 2019 Category: General Medicine Source Type: research

Clinical manifestation and images of a patient having cardiovascular involvement in myxoedema coma
Publication date: Available online 15 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Vishesh Verma, Anil S. Menon, Ajay Bahadur, Ajeet SikarwarAbstractMyxoedema coma is an endocrine emergency characterised by diminished sensorium associated with features of severe hypothyroidism. The disease carries a high mortality of 30%–60 %. The cardiac manifestation of the disease consists of bradycardia, hypotension, pericardial effusion and certain echocardiographic changes such as heart block and features of hypothermia. Here, we report a case of myxoedema coma with characteristic cardiac manifestations. These...
Source: Medical Journal Armed Forces India - April 17, 2019 Category: General Medicine Source Type: research

Hemophagocytic lymphohistiocytosis in a child with chronic granulomatous disease: A rare complication of a rare disorder
Publication date: Available online 15 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Gitanjali Jain, Suprita Kalra, Saurabh Sharma, Gautam Kumar Vasnik, Rakesh GuptaAbstractChronic Granulomatous Disease (CGD) is a primary immunodeficiency disorder (PID) of phagocytic cells resulting in failure to eradicate catalase positive microorganisms like Staphylococci and fungal infections; due to deficiency or malfunction of nicotinamide adenine dinucleotide phosphate (NADPH)-oxidase subunits in phagocytic leucocytes. We illustrate here one such case; a six year old girl who was admitted in our hospital with history ...
Source: Medical Journal Armed Forces India - April 17, 2019 Category: General Medicine Source Type: research

Paraphilias and the press: Do not always believe what you read!
Publication date: Available online 5 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): Mark D. Griffiths (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 6, 2019 Category: General Medicine Source Type: research

Food poisoning outbreak in a religious mass gathering
ConclusionMaintaining food safety during mass gatherings is a major challenge for public health authorities. The Food Safety and Standards Act (2006) in India brings the food consumed during religious gatherings such as 'prasad' and 'langar' under its purview and comprehensively addresses this issue. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 6, 2019 Category: General Medicine Source Type: research

Rapid in-situ hybridization and immunohistochemistry: a pilot comparative study of two rapid diagnostic techniques for establishing monoclonality in plasma cell dyscrasias
ConclusionRapid-in-situ-hybridisation (RISH) is a superior technique to IHC for detecting kappa and lambda light chain in plasma cells. The test is as labour intensive and time consuming as the routine IHC but has no background staining with more bright and crisp staining quality. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 6, 2019 Category: General Medicine Source Type: research

Survivors of deliberate self-harm attempt in the military milieu: An exploratory study of psychiatric morbidity and psychosocial correlates
ConclusionOur findings are discussed in relation with findings in the literature. Recommendations regarding awareness campaign, specific skill development programs and the need for early intervention in individuals with psychiatric morbidity have been proposed to prevent such behaviours. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 6, 2019 Category: General Medicine Source Type: research

Low reporting of violence against health-care workers in India in spite of high prevalence
This study was conceptualized with the aim to know the prevalence of violence and to identify gap between rate of reporting of an incident of violence at a tertiary care hospital in India.MethodsThe study was descriptive and cross-sectional; a validated questionnaire was used as a tool. Reported incidents of violence against workers were collected. P value
Source: Medical Journal Armed Forces India - April 6, 2019 Category: General Medicine Source Type: research

Bilateral ptosis: An unusual presentation of mid brain tuberculoma
We report a case of 56 year old female reported with history of bilateral asymmetric ptosis of one month duration,with no other neurological defecit. Magnetic resonance imaging (MRI) brain revealed well defined ring enhancing lesion in the medial aspect of left hemi midbrain with diffuse disproportionate perilessional edema. Contrast Enhanced Computed Tomogram (CECT) of chest and abdomen revealed features of disseminated tuberculosis. She was diagnosed as a case of disseminated tuberculosis and started on antitubercular therapy with steroids and the ptosis almost resolved after 01 month of antitubercular therapy. Our case ...
Source: Medical Journal Armed Forces India - April 3, 2019 Category: General Medicine Source Type: research

Primary pulmonary Hodgkin's lymphoma with pulmonary histoplasmosis
Publication date: Available online 2 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): G.S. Chowdhary, Ritu Mehta, Rahul TyagiAbstractPrimary pulmonary Hodgkins lymphoma is a rare and enigmatic neoplasm commonly seen in females. The aim of this case report is to emphasize that pulmonary lymphoma should be considered as a differential diagnosis in a young patient presenting with a lung mass and B symptoms. Extensive clinical details, imaging should be done to rule out the secondary involvement of lung by other lymphomas. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - April 3, 2019 Category: General Medicine Source Type: research

Game of thorns: Modern day opium
Publication date: Available online 2 April 2019Source: Medical Journal Armed Forces IndiaAuthor(s): P.S. Bhat, Jyoti Prakash, Kalpana SrivastavaAbstractWith the advent of internet and mobile communication the virtual space of world wide web has become a playground; people plugged in to it at distant horizon completely unfamiliar to each other are players; keyboard, touchpad and joysticks have become the tools of play; webmaster, app developer are self designated referees of the game; while the virtual media is the largest ever spectators in this amphitheatre of the web. More and more youth are getting hooked onto this and ...
Source: Medical Journal Armed Forces India - April 3, 2019 Category: General Medicine Source Type: research

A study of hepatitis A virus seropositivity among children aged between 1 and 5 years of age: Implications for universal immunization
This study was conducted to assess the seroprevalence of HAV among young children aged below 5 years and the need for universal immunization.MethodThis cross-sectional study was conducted at two tertiary care hospitals in Northern India, from Apr 2014 to Jul 2015, among healthy children aged between 1 and 5 years. The sample size was calculated based on the prevalence of HAV seropositivity of 40% among children aged
Source: Medical Journal Armed Forces India - March 29, 2019 Category: General Medicine Source Type: research

Blueprinting of summative theory assessment of undergraduate medical students in microbiology
In this study, last 5-year's Maharashtra University of Health Sciences (MUHS) second year MBBS papers in Microbiology were evaluated for its content validity. Desired weightage to all the topics in microbiology was given by the faculty of Department of the Microbiology. University papers were also evaluated for level of cognitive domain tested. Closed ended feedback from faculty was taken and was statistically evaluated.ResultStudy revealed both overrepresentation and underrepresentation of many topics across all the last 5-year university papers in subject of microbiology. The cognitive dimension tested in question papers...
Source: Medical Journal Armed Forces India - March 29, 2019 Category: General Medicine Source Type: research

Health technology assessment of fixed-dose combination regimen in treatment of newly diagnosed smear-positive pulmonary tuberculosis: A meta-analysis
ConclusionFixed-dose combination (FDC) formulations are not inferior in treatment outcomes. It may also ease programme managers and patients by improving compliance. However, increase in relapse rates needs further evaluation through large multicentric studies before implementing policy change in the national programme. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - March 26, 2019 Category: General Medicine Source Type: research

Skin-to-skin contact at birth for vaginally delivered neonates in a tertiary care hospital: A cross-sectional study
ConclusionThe rate of SSC at birth is suboptimal, and the commonest reason is lack of awareness about this important step of essential newborn care. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - February 26, 2019 Category: General Medicine Source Type: research

Changes in salivary output after induction at high-altitude areas and its effects on dental caries among Indian Army troops
This study was aimed to evaluate the changes in salivary output and its effect on dental caries among Indian troops after 6 months of stay at high-altitude area (HAA).MethodsAll troops undergo mandatory dental checkup during acclimatization phase before deployment at HAA. Two thousand troops who fulfilled inclusion and exclusion criteria were selected, and consent for the study was obtained. Stimulated and unstimulated salivary samples were collected, the decayed, missing, and filled teeth (DMFT) index was evaluated, and required dental treatment was completed. The same salivary samples were collected after 6 months (...
Source: Medical Journal Armed Forces India - February 26, 2019 Category: General Medicine Source Type: research

Double-positive in triple-negative? How significant is basal cytokeratin expression in breast cancer?
ConclusionIHC can be used to identify patients with basal phenotype breast cancer with good sensitivity and specificity, and such patients can benefit from aggressive management. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - February 26, 2019 Category: General Medicine Source Type: research

Stress fractures in military recruits: A prospective study for evaluation of incidence, patterns of injury and invalidments out of service
ConclusionPrevention is the best approach for SFs. It is suggested to increase the intensity of training gradually over the first 16 weeks and recruits are to be given a training pause at around the 12th week for healing of stressed bones just before the peak time of occurrence of SFs. Femoral neck SFs are the commonest SFs responsible for invalidment of recruits. (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - February 25, 2019 Category: General Medicine Source Type: research

Medical Journal Armed Forces India: 75 years young!
Publication date: January 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 1Author(s): Rakesh Datta (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - January 20, 2019 Category: General Medicine Source Type: research

Disseminated nocardiasis by Nocardia farcinica: Review and first case report from Central India
Publication date: January 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 1Author(s): Anudita Bhargava, Sarika Kombade, Debabrat Dash, Yogesh Jain (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - January 20, 2019 Category: General Medicine Source Type: research

Clinicians and microbiologists need to work closely to improve patient care and control antimicrobial resistance
Publication date: January 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 1Author(s): G. Gopal Rao (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - January 20, 2019 Category: General Medicine Source Type: research

Man and Microbe: Fraternizing with the frenemy
Publication date: January 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 1Author(s): Shankar Subramanian (Source: Medical Journal Armed Forces India)
Source: Medical Journal Armed Forces India - January 20, 2019 Category: General Medicine Source Type: research

Current trends in tuberculosis vaccine
Publication date: January 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 1Author(s): J.S.V. Soundarya, Uma Devi Ranganathan, Srikanth P. TripathyAbstractDespite the global efforts made to control tuberculosis (TB) and the large number of available new anti-TB drugs, TB still affects one-third of the world population. The conventional vaccine bacille Calmette–Guérin (BCG) shows varying efficacy in different populations, and there are safety issues in immunocompromised patients. Hence, there is an urgent requirement for a new and better TB vaccine candidate than BCG. There are several alternate...
Source: Medical Journal Armed Forces India - January 20, 2019 Category: General Medicine Source Type: research

Private sector involvement envisaged in the National Strategic Plan for Tuberculosis Elimination 2017–2025: Can Tuberculosis Health Action Learning Initiative model act as a road map?
Publication date: January 2019Source: Medical Journal Armed Forces India, Volume 75, Issue 1Author(s): Indranil Saha, Bobby PaulAbstractTuberculosis (TB), one of the oldest diseases known to mankind has become a notifiable disease. Public private mixes guidelines for TB programme managers had already been published by Central TB Division in the Ministry of Health and Family Welfare. One of the tremendous challenges that impede private sector involvement in TB care is delayed diagnosis, treatment of variable quality, surveillance, adherence monitoring, contact investigation, and outcome recording. The present article has ad...
Source: Medical Journal Armed Forces India - January 20, 2019 Category: General Medicine Source Type: research