MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Postgraduate Medicine' source. Sat, 20 Mar 2010 15:43:12 +0100 http://www.medworm.com/index.php?rid=3345628&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D318%3Bepage%3D319%3Baulast%3DAggarwal Aggarwal SJournal of Postgraduate Medicine 2009 55(4):318-319 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345628 Tue, 09 Mar 2010 16:15:37 +0100 3345628 http://www.medworm.com/index.php?rid=3345627&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D317%3Bepage%3D318%3Baulast%3DZaki Zaki S AJournal of Postgraduate Medicine 2009 55(4):317-318 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345627 Tue, 09 Mar 2010 16:15:37 +0100 3345627 http://www.medworm.com/index.php?rid=3345626&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D317%3Bepage%3D317%3Baulast%3DThomas Thomas N, Ravan J R, Jebaraj P, Braganza DJournal of Postgraduate Medicine 2009 55(4):317-317 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345626 Tue, 09 Mar 2010 16:15:37 +0100 3345626 http://www.medworm.com/index.php?rid=3345625&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D316%3Bepage%3D316%3Baulast%3DCholongitas Cholongitas EJournal of Postgraduate Medicine 2009 55(4):316-316 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345625 Tue, 09 Mar 2010 16:15:37 +0100 3345625 http://www.medworm.com/index.php?rid=3345624&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D314%3Bepage%3D315%3Baulast%3DChrysohoou Chrysohoou C, Stefanadis CJournal of Postgraduate Medicine 2009 55(4):314-315 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345624 Tue, 09 Mar 2010 16:15:37 +0100 3345624 http://www.medworm.com/index.php?rid=3345623&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D305%3Bepage%3D313%3Baulast%3DCengel Cengel A, Tanindi AJournal of Postgraduate Medicine 2009 55(4):305-313An increasing number of patients under 40 years of age are being hospitalized with the diagnosis of acute myocardial infarction. This is partly due to the increased prevalance of risk factors for atherosclerosis in the younger age group; especially increased incidence of impaired fasting glucose, high triglyceride, low high-density lipoprotein levels and increased waist to hip ratio. However, non-atherosclerotic coronary artery disease or hypercoagulability should also be investigated or at least suspected in the younger patients. The pathophysiology of different clinical conditions and disease states which cause acute coronary syndromes in the young patients are reviewed, and the diagnostic modalities and therapatic opt... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345623 Tue, 09 Mar 2010 16:15:37 +0100 3345623 http://www.medworm.com/index.php?rid=3345622&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D301%3Bepage%3D304%3Baulast%3DVijayakrishnan Vijayakrishnan RJournal of Postgraduate Medicine 2009 55(4):301-304Drug discovery has evolved through various stages into more rational and evidence-based drug designing. Compared to conventional methods which were time consuming and less logical, new drug designing based on structure is rational, evidence based, faster and more scientific in nature. In the era of modern medicine, where newer insights into molecular level of disease processes are available, it is very essential that drug designing be based on molecular mechanism of pathologic processes. Structure-based drug designing has made tremendous contributions in the field of cancer chemotherapy, drug resistant infections, neurological diseases, to mention a few. New drug discovery methods are furthered by developments in the techno... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345622 Tue, 09 Mar 2010 16:15:37 +0100 3345622 http://www.medworm.com/index.php?rid=3345621&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D296%3Bepage%3D300%3Baulast%3DJoshi Joshi N, Rajeshwari KJournal of Postgraduate Medicine 2009 55(4):296-300Conventional oral steroids like prednisolone have various adverse effects both during short-term and long-term use. Hence a search for an alternative oral steroid with fewer side-effects is underway throughout the world. Deflazacort, an oxazoline derivative, is a step in this direction. The number of large randomized trials using deflazacort for steroid-responsive disorders in children is limited. Use of deflazacort has been explored largely in patients with Duchenne's muscular dystrophy. Preliminary data suggest reduced osteoporosis, lesser growth retardation and weight gain with use of deflazacort, as compared to other steriods. In view of the limited data demonstrating superiority of deflazacort over the avai... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345621 Tue, 09 Mar 2010 16:15:37 +0100 3345621 http://www.medworm.com/index.php?rid=3345620&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D294%3Bepage%3D295%3Baulast%3DShah Shah S UJournal of Postgraduate Medicine 2009 55(4):294-295 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345620 Tue, 09 Mar 2010 16:15:37 +0100 3345620 http://www.medworm.com/index.php?rid=3345619&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D292%3Bepage%3D293%3Baulast%3DSharma We report the case of a 48-year-old male, who was taking ornidazole and developed features of disulfiram-like reaction after taking alcohol. The patient was managed with supportive measures and improved. The report highlights the need for clinicians to advise patients to restrict intake of alcohol if they are being prescribed imidazole derivatives. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345619 Tue, 09 Mar 2010 16:15:37 +0100 3345619 http://www.medworm.com/index.php?rid=3345618&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D290%3Bepage%3D291%3Baulast%3DMadhusudhan Madhusudhan K S, Srivastava D N, Gamanagatti SJournal of Postgraduate Medicine 2009 55(4):290-291 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345618 Tue, 09 Mar 2010 16:15:37 +0100 3345618 http://www.medworm.com/index.php?rid=3345617&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D288%3Bepage%3D289%3Baulast%3DPeric Peric A, Matkovic-Jozin S, Vukomanovic-Durdevic BJournal of Postgraduate Medicine 2009 55(4):288-289 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345617 Tue, 09 Mar 2010 16:15:37 +0100 3345617 http://www.medworm.com/index.php?rid=3345616&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D287%3Bepage%3D287%3Baulast%3DNayyar Nayyar R, Singh P, Seth AJournal of Postgraduate Medicine 2009 55(4):287-287 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345616 Tue, 09 Mar 2010 16:15:37 +0100 3345616 http://www.medworm.com/index.php?rid=3345615&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D284%3Bepage%3D286%3Baulast%3DXie Xie S, Nie R, Wang JJournal of Postgraduate Medicine 2009 55(4):284-286Atherosclerotic plaque rupture and local thrombosis activation in the artery cause acute serious incidents such as acute coronary syndrome and stroke. The exact mechanism of plaque rupture remains unclear but excessive degradation of the extracellular matrix scaffold by matrix-degrading metalloproteinases (MMPs) has been implicated as one of the major molecular mechanisms in this process. Convincing evidence is available to prove that extracellular matrix metalloproteinase inducer (EMMPRIN) induces MMP expression and is involved in the inflammatory responses in the artery wall. The inflammation and MMPs have been shown to play a critical role for atherosclerotic lesion development and progression. More recent data showe... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345615 Tue, 09 Mar 2010 16:15:37 +0100 3345615 http://www.medworm.com/index.php?rid=3345614&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D278%3Bepage%3D283%3Baulast%3DBusari Busari J O, Arnold AERJournal of Postgraduate Medicine 2009 55(4):278-283In recent years, higher medical education has witnessed major changes in the structure and content of postgraduate medical training. Seven professional competencies have been described that address the medical doctors' ability to effectively communicate and transfer medical information, interact effectively and professionally, and demonstrate a good grasp of clinical knowledge and skills. Proficiency in didactic skills, however, is an important competency that has not received prominent attention. In the clinical setting, attending-physicians and medical residents are responsible for teaching. Consequently, several medical institutions have proposed the need for teacher training programs to improve the teaching... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345614 Tue, 09 Mar 2010 16:15:37 +0100 3345614 http://www.medworm.com/index.php?rid=3345613&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D276%3Bepage%3D277%3Baulast%3DGupta Gupta R, Gupta A, Gupta K B, Sood SJournal of Postgraduate Medicine 2009 55(4):276-277 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345613 Tue, 09 Mar 2010 16:15:37 +0100 3345613 http://www.medworm.com/index.php?rid=3345612&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D275%3Bepage%3D275%3Baulast%3DNeogi Neogi D S, Jaiman A, Yadav C S, Nag H LJournal of Postgraduate Medicine 2009 55(4):275-275 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345612 Tue, 09 Mar 2010 16:15:37 +0100 3345612 http://www.medworm.com/index.php?rid=3345611&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D272%3Bepage%3D274%3Baulast%3DJindal Jindal T, Kumar A, Dutta R, Kumar RJournal of Postgraduate Medicine 2009 55(4):272-274Bronchial masses in young patients are a diagnostic challenge as the signs and symptoms are overlapping. Conventional radiological investigations reveal a mass but are not diagnostic and biopsy remains the only means of preoperative diagnosis. Functional imaging is now emerging as an important tool in the evaluation of these patients and may have a potential to suggest a possible diagnosis. A combination of 18 F-FDG PET-CT and 68 Ga-DOTATOC PET-CT scan is one such example, which revealed contrasting findings in two patients that are being presented here. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345611 Tue, 09 Mar 2010 16:15:37 +0100 3345611 http://www.medworm.com/index.php?rid=3345610&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D270%3Bepage%3D271%3Baulast%3DBanta Banta D P, Dandamudi N, Parekh H J, Anholm J DJournal of Postgraduate Medicine 2009 55(4):270-271An 80-year-old man presented with the characteristic triad of yellow nail syndrome (chronic respiratory disorders, primary lymphedema and yellow nails) in association with coronary artery bypass graft surgery. Treatment with mechanical pleurodesis and vitamin E resulted in near complete resolution of the yellow nails, pleural effusions, and lower extremity edema. The etiology of the yellow nail syndrome has been described as an anatomical or functional lymphatic abnormality. Several conditions have previously been described as associated with this disease. This is the first report of the association of this syndrome with thoracic surgery. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345610 Tue, 09 Mar 2010 16:15:37 +0100 3345610 http://www.medworm.com/index.php?rid=3345609&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D267%3Bepage%3D269%3Baulast%3DThomson Thomson V S, Gopinath K G, Joseph E, Joseph GJournal of Postgraduate Medicine 2009 55(4):267-269A 70-year-old lady presented with recurrent gastrointestinal bleeding and septicemia caused by multiple enteric pathogens. She was diagnosed to have primary aorto-enteric fistula (PAEF) complicating abdominal aortic aneurysm. Endovascular aneurysm repair was carried out that arrested gastrointestinal bleeding, but despite prolonged antibiotic therapy the patient died a month later of probable sepsis. PAEF refers to abnormal communication between the aorta and the intestine resulting from disease at either site; this rare condition should be suspected in patients with abdominal aortic aneurysm who present with unexplained life-threatening gastrointestinal bleeding. Computerized tomography is the ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345609 Tue, 09 Mar 2010 16:15:37 +0100 3345609 http://www.medworm.com/index.php?rid=3345608&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D261%3Bepage%3D266%3Baulast%3DRajasekaran Conclusions : CD4 progression continues two years after ART in patients who had base level > 100 cells. Early initiation of ART is necessary before CD4 crashing to < 100 cells for increasing the survival function. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345608 Tue, 09 Mar 2010 16:15:37 +0100 3345608 http://www.medworm.com/index.php?rid=3345607&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D257%3Bepage%3D260%3Baulast%3DGrover Conclusions : A single low dose of 600 mg gabapentin administered 1 h prior to surgery produced effective and significant postoperative analgesia after total mastectomy and axillary dissection without significant side effects. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345607 Tue, 09 Mar 2010 16:15:37 +0100 3345607 http://www.medworm.com/index.php?rid=3345606&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D252%3Bepage%3D256%3Baulast%3DThomson Conclusion : The incidence of aspirin resistance in the cohort of patients with documented heart disease was 38.1%. Patients with elevated absolute urinary dehydrothomboxane levels (>320 pg/ml) on chronic aspirin therapy constitute a high risk subset for recurrent vascular events. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345606 Tue, 09 Mar 2010 16:15:37 +0100 3345606 http://www.medworm.com/index.php?rid=3345605&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D247%3Bepage%3D251%3Baulast%3DKumari Conclusion : Approximately 90% (27 cases) were associated with poor prognostic factors in the present study according to the IELSG score. Perivascular reactive CD3 collar was seen in cases with low to intermediate IELSG score. A larger study is required to further validate that the presence of reactive perivascular CD3 collar is associated with good prognosis. This histological marker could be supplemented with IELSG score to stratify the patients of primary CNS lymphoma according to their aggressiveness. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345605 Tue, 09 Mar 2010 16:15:37 +0100 3345605 http://www.medworm.com/index.php?rid=3345604&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D242%3Bepage%3D246%3Baulast%3DHaciyanli Conclusion : The results of MIP achieved in high-volume endocrine surgery centers can be replicated in low-volume center without any intraoperative adjuncts, in patients with overt clinical pHPT and concordant results of sestamibi and ultrasound. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345604 Tue, 09 Mar 2010 16:15:37 +0100 3345604 http://www.medworm.com/index.php?rid=3345603&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D240%3Bepage%3D241%3Baulast%3DBhagavathi Bhagavathi SJournal of Postgraduate Medicine 2009 55(4):240-241 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345603 Tue, 09 Mar 2010 16:15:37 +0100 3345603 http://www.medworm.com/index.php?rid=3345602&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D239%3Bepage%3D240%3Baulast%3DBarczynski Barczynski MJournal of Postgraduate Medicine 2009 55(4):239-240 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345602 Tue, 09 Mar 2010 16:15:37 +0100 3345602 http://www.medworm.com/index.php?rid=3345601&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2009%3Bvolume%3D55%3Bissue%3D4%3Bspage%3D237%3Bepage%3D238%3Baulast%3DGogtay Gogtay N J, Sarkar M SJournal of Postgraduate Medicine 2009 55(4):237-238 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3345601 Tue, 09 Mar 2010 16:15:37 +0100 3345601 http://www.medworm.com/index.php?rid=3170395&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Aggarwal SJournal of Postgraduate Medicine 2009 55(4):318-319 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170395 Thu, 14 Jan 2010 15:55:39 +0100 3170395 http://www.medworm.com/index.php?rid=3170394&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Zaki S AJournal of Postgraduate Medicine 2009 55(4):317-318 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170394 Thu, 14 Jan 2010 15:55:39 +0100 3170394 http://www.medworm.com/index.php?rid=3170393&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Thomas N, Ravan J R, Jebaraj P, Braganza DJournal of Postgraduate Medicine 2009 55(4):317-317 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170393 Thu, 14 Jan 2010 15:55:39 +0100 3170393 http://www.medworm.com/index.php?rid=3170392&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Cholongitas EJournal of Postgraduate Medicine 2009 55(4):316-316 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170392 Thu, 14 Jan 2010 15:55:39 +0100 3170392 http://www.medworm.com/index.php?rid=3170391&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Chrysohoou C, Stefanadis CJournal of Postgraduate Medicine 2009 55(4):314-315 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170391 Thu, 14 Jan 2010 15:55:39 +0100 3170391 http://www.medworm.com/index.php?rid=3170390&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Cengel A, Tanindi AJournal of Postgraduate Medicine 2009 55(4):305-313An increasing number of patients under 40 years of age are being hospitalized with the diagnosis of acute myocardial infarction. This is partly due to the increased prevalance of risk factors for atherosclerosis in the younger age group; especially increased incidence of impaired fasting glucose, high triglyceride, low high-density lipoprotein levels and increased waist to hip ratio. However, non-atherosclerotic coronary artery disease or hypercoagulability should also be investigated or at least suspected in the younger patients. The pathophysiology of different clinical conditions and disease states which cause acute coronary syndromes in the young patients are reviewed, and the diagnostic modalities and therapatic opt... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170390 Thu, 14 Jan 2010 15:55:39 +0100 3170390 http://www.medworm.com/index.php?rid=3170389&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Vijayakrishnan RJournal of Postgraduate Medicine 2009 55(4):301-304Drug discovery has evolved through various stages into more rational and evidence-based drug designing. Compared to conventional methods which were time consuming and less logical, new drug designing based on structure is rational, evidence based, faster and more scientific in nature. In the era of modern medicine, where newer insights into molecular level of disease processes are available, it is very essential that drug designing be based on molecular mechanism of pathologic processes. Structure-based drug designing has made tremendous contributions in the field of cancer chemotherapy, drug resistant infections, neurological diseases, to mention a few. New drug discovery methods are furthered by developments in the techno... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170389 Thu, 14 Jan 2010 15:55:39 +0100 3170389 http://www.medworm.com/index.php?rid=3170388&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Joshi N, Rajeshwari KJournal of Postgraduate Medicine 2009 55(4):296-300Conventional oral steroids like prednisolone have various adverse effects both during short-term and long-term use. Hence a search for an alternative oral steroid with fewer side-effects is underway throughout the world. Deflazacort, an oxazoline derivative, is a step in this direction. The number of large randomized trials using deflazacort for steroid-responsive disorders in children is limited. Use of deflazacort has been explored largely in patients with Duchennes muscular dystrophy. Preliminary data suggest reduced osteoporosis, lesser growth retardation and weight gain with use of deflazacort, as compared to other steriods. In view of the limited data demonstrating superiority of deflazacort over the available or... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170388 Thu, 14 Jan 2010 15:55:39 +0100 3170388 http://www.medworm.com/index.php?rid=3170387&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Shah S UJournal of Postgraduate Medicine 2009 55(4):294-295 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170387 Thu, 14 Jan 2010 15:55:39 +0100 3170387 http://www.medworm.com/index.php?rid=3170386&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We report the case of a 48-year-old male, who was taking ornidazole and developed features of disulfiram-like reaction after taking alcohol. The patient was managed with supportive measures and improved. The report highlights the need for clinicians to advise patients to restrict intake of alcohol if they are being prescribed imidazole derivatives. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170386 Thu, 14 Jan 2010 15:55:39 +0100 3170386 http://www.medworm.com/index.php?rid=3170385&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Madhusudhan K S, Srivastava D N, Gamanagatti SJournal of Postgraduate Medicine 2009 55(4):290-291 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170385 Thu, 14 Jan 2010 15:55:39 +0100 3170385 http://www.medworm.com/index.php?rid=3170384&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Peric A, Matkovic-Jozin S, Vukomanovic-Durdevic BJournal of Postgraduate Medicine 2009 55(4):288-289 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170384 Thu, 14 Jan 2010 15:55:39 +0100 3170384 http://www.medworm.com/index.php?rid=3170383&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Nayyar R, Singh P, Seth AJournal of Postgraduate Medicine 2009 55(4):287-287 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170383 Thu, 14 Jan 2010 15:55:39 +0100 3170383 http://www.medworm.com/index.php?rid=3170382&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Xie S, Nie R, Wang JJournal of Postgraduate Medicine 2009 55(4):284-286Atherosclerotic plaque rupture and local thrombosis activation in the artery cause acute serious incidents such as acute coronary syndrome and stroke. The exact mechanism of plaque rupture remains unclear but excessive degradation of the extracellular matrix scaffold by matrix-degrading metalloproteinases (MMPs) has been implicated as one of the major molecular mechanisms in this process. Convincing evidence is available to prove that extracellular matrix metalloproteinase inducer (EMMPRIN) induces MMP expression and is involved in the inflammatory responses in the artery wall. The inflammation and MMPs have been shown to play a critical role for atherosclerotic lesion development and progression. More recent data showe... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170382 Thu, 14 Jan 2010 15:55:39 +0100 3170382 http://www.medworm.com/index.php?rid=3170381&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Busari J O, Arnold AERJournal of Postgraduate Medicine 2009 55(4):278-283In recent years, higher medical education has witnessed major changes in the structure and content of postgraduate medical training. Seven professional competencies have been described that address the medical doctors ability to effectively communicate and transfer medical information, interact effectively and professionally, and demonstrate a good grasp of clinical knowledge and skills. Proficiency in didactic skills, however, is an important competency that has not received prominent attention. In the clinical setting, attending-physicians and medical residents are responsible for teaching. Consequently, several medical institutions have proposed the need for teacher training programs to improve the teaching skills ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170381 Thu, 14 Jan 2010 15:55:39 +0100 3170381 http://www.medworm.com/index.php?rid=3170380&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Gupta R, Gupta A, Gupta K B, Sood SJournal of Postgraduate Medicine 2009 55(4):276-277 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170380 Thu, 14 Jan 2010 15:55:39 +0100 3170380 http://www.medworm.com/index.php?rid=3170379&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Neogi D S, Jaiman A, Yadav C S, Nag H LJournal of Postgraduate Medicine 2009 55(4):275-275 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170379 Thu, 14 Jan 2010 15:55:39 +0100 3170379 http://www.medworm.com/index.php?rid=3170378&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Jindal T, Kumar A, Dutta R, Kumar RJournal of Postgraduate Medicine 2009 55(4):272-274Bronchial masses in young patients are a diagnostic challenge as the signs and symptoms are overlapping. Conventional radiological investigations reveal a mass but are not diagnostic and biopsy remains the only means of preoperative diagnosis. Functional imaging is now emerging as an important tool in the evaluation of these patients and may have a potential to suggest a possible diagnosis. A combination of 18 F-FDG PET-CT and 68 Ga-DOTATOC PET-CT scan is one such example, which revealed contrasting findings in two patients that are being presented here. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170378 Thu, 14 Jan 2010 15:55:39 +0100 3170378 http://www.medworm.com/index.php?rid=3170377&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Banta D P, Dandamudi N, Parekh H J, Anholm J DJournal of Postgraduate Medicine 2009 55(4):270-271An 80-year-old man presented with the characteristic triad of yellow nail syndrome (chronic respiratory disorders, primary lymphedema and yellow nails) in association with coronary artery bypass graft surgery. Treatment with mechanical pleurodesis and vitamin E resulted in near complete resolution of the yellow nails, pleural effusions, and lower extremity edema. The etiology of the yellow nail syndrome has been described as an anatomical or functional lymphatic abnormality. Several conditions have previously been described as associated with this disease. This is the first report of the association of this syndrome with thoracic surgery. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170377 Thu, 14 Jan 2010 15:55:39 +0100 3170377 http://www.medworm.com/index.php?rid=3170376&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Thomson V S, Gopinath K G, Joseph E, Joseph GJournal of Postgraduate Medicine 2009 55(4):267-269A 70-year-old lady presented with recurrent gastrointestinal bleeding and septicemia caused by multiple enteric pathogens. She was diagnosed to have primary aorto-enteric fistula (PAEF) complicating abdominal aortic aneurysm. Endovascular aneurysm repair was carried out that arrested gastrointestinal bleeding, but despite prolonged antibiotic therapy the patient died a month later of probable sepsis. PAEF refers to abnormal communication between the aorta and the intestine resulting from disease at either site; this rare condition should be suspected in patients with abdominal aortic aneurysm who present with unexplained life-threatening gastrointestinal bleeding. Computerized tomography is the ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170376 Thu, 14 Jan 2010 15:55:39 +0100 3170376 http://www.medworm.com/index.php?rid=3170375&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : CD4 progression continues two years after ART in patients who had base level > 100 cells. Early initiation of ART is necessary before CD4 crashing to < 100 cells for increasing the survival function. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170375 Thu, 14 Jan 2010 15:55:39 +0100 3170375 http://www.medworm.com/index.php?rid=3170374&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : A single low dose of 600 mg gabapentin administered 1 h prior to surgery produced effective and significant postoperative analgesia after total mastectomy and axillary dissection without significant side effects. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170374 Thu, 14 Jan 2010 15:55:39 +0100 3170374 http://www.medworm.com/index.php?rid=3170373&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion : The incidence of aspirin resistance in the cohort of patients with documented heart disease was 38.1%. Patients with elevated absolute urinary dehydrothomboxane levels (>320 pg/ml) on chronic aspirin therapy constitute a high risk subset for recurrent vascular events. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170373 Thu, 14 Jan 2010 15:55:39 +0100 3170373 http://www.medworm.com/index.php?rid=3170372&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion : Approximately 90% (27 cases) were associated with poor prognostic factors in the present study according to the IELSG score. Perivascular reactive CD3 collar was seen in cases with low to intermediate IELSG score. A larger study is required to further validate that the presence of reactive perivascular CD3 collar is associated with good prognosis. This histological marker could be supplemented with IELSG score to stratify the patients of primary CNS lymphoma according to their aggressiveness. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170372 Thu, 14 Jan 2010 15:55:39 +0100 3170372 http://www.medworm.com/index.php?rid=3170371&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion : The results of MIP achieved in high-volume endocrine surgery centers can be replicated in low-volume center without any intraoperative adjuncts, in patients with overt clinical pHPT and concordant results of sestamibi and ultrasound. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170371 Thu, 14 Jan 2010 15:55:39 +0100 3170371 http://www.medworm.com/index.php?rid=3170370&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bhagavathi SJournal of Postgraduate Medicine 2009 55(4):240-241 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170370 Thu, 14 Jan 2010 15:55:39 +0100 3170370 http://www.medworm.com/index.php?rid=3170369&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Barczynski MJournal of Postgraduate Medicine 2009 55(4):239-240 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170369 Thu, 14 Jan 2010 15:55:39 +0100 3170369 http://www.medworm.com/index.php?rid=3170368&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Gogtay N J, Sarkar M SJournal of Postgraduate Medicine 2009 55(4):237-238 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3170368 Thu, 14 Jan 2010 15:55:39 +0100 3170368 http://www.medworm.com/index.php?rid=2949967&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Chhabra S, Mohan H, Bal AJournal of Postgraduate Medicine 2009 55(3):234-236 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949967 Mon, 02 Nov 2009 15:50:47 +0100 2949967 http://www.medworm.com/index.php?rid=2949966&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Singh I, Panesar N, Haq AJournal of Postgraduate Medicine 2009 55(3):233-234 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949966 Mon, 02 Nov 2009 15:50:47 +0100 2949966 http://www.medworm.com/index.php?rid=2949965&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Zaki S A, Asif S, Dadge D, Shanbag PJournal of Postgraduate Medicine 2009 55(3):233-233 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949965 Mon, 02 Nov 2009 15:50:47 +0100 2949965 http://www.medworm.com/index.php?rid=2949964&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Wiwanitkit VJournal of Postgraduate Medicine 2009 55(3):232-233 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949964 Mon, 02 Nov 2009 15:50:47 +0100 2949964 http://www.medworm.com/index.php?rid=2949963&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Iyer HJournal of Postgraduate Medicine 2009 55(3):232-232 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949963 Mon, 02 Nov 2009 15:50:47 +0100 2949963 http://www.medworm.com/index.php?rid=2949962&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Granado LIG, Guillen GJournal of Postgraduate Medicine 2009 55(3):231-231 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949962 Mon, 02 Nov 2009 15:50:47 +0100 2949962 http://www.medworm.com/index.php?rid=2949961&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Tullu M SJournal of Postgraduate Medicine 2009 55(3):225-230Oseltamivir, a selective neuraminidase enzyme inhibitor, has gained worldwide attention in view of Influenza A (H1N1) pandemic. It is one of the most important drugs effective against the novel influenza virus. Oseltamivir is used for the treatment of uncomplicated acute illness due to influenza infection. Early initiation of treatment with the drug provides greater clinical benefits. The drug can also be effectively used for prophylaxis. Oseltamivir is readily absorbed from the gastrointestinal tract and is converted to the active metabolite- oseltamivir carboxylate, which has a wider distribution in the body. Oseltamivir carboxylate is eliminated in the urine with a half-life of 6-10 h. The drug is generally well-tolerated and d... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949961 Mon, 02 Nov 2009 15:50:47 +0100 2949961 http://www.medworm.com/index.php?rid=2949960&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Gautam V PJournal of Postgraduate Medicine 2009 55(3):220-224Introduction of multi-drug therapy (MDT) into the National Leprosy Eradication Program (NLEP) of India has brought a decline in both the burden of the disease and the detection of new cases in the country. Despite this success, MDT has had many problems like remarkable relapse rate, non-adherence to the MDT and the emergence of drug resistance associated with it. Moreover, there is no new MDT regimen at present, which could solve all these problems. The current situation suggests that we should look for alternative solutions in the delivery of leprosy-related services. With the introduction of Accredited Social Health Activists under the National Rural Health Mission, there is an opportunity to control some of these problems asso... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949960 Mon, 02 Nov 2009 15:50:47 +0100 2949960 http://www.medworm.com/index.php?rid=2949959&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Franco T, Roque C, Khorasanizadeh S, McCullough L DJournal of Postgraduate Medicine 2009 55(3):214-219 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949959 Mon, 02 Nov 2009 15:50:47 +0100 2949959 http://www.medworm.com/index.php?rid=2949958&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Suvarna J C, Keskar V SJournal of Postgraduate Medicine 2009 55(3):211-213"Tripod Sign" or "Amosss Sign" is a sign of meningeal irritation. Although useful in diagnosing meningitis, it is not pathognomic and may be seen in a variety of clinical conditions. Infants < 1 year of age and immunocompromised individuals may not demonstrate signs of meningeal irritation. Since elicitation of the sign requires voluntary sitting up, it is of limited use in patients with marked altered sensorium and young infants. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949958 Mon, 02 Nov 2009 15:50:47 +0100 2949958 http://www.medworm.com/index.php?rid=2949957&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Chrispal A, Boorugu H, Prabhakar A T, Moses VJournal of Postgraduate Medicine 2009 55(3):208-210Aminoglycoside-induced renal toxicity is well known and may manifest with nonoliguric renal failure or renal tubular dysfunction. Aminoglycoside-induced renal tubular dysfunction could result in diffuse damage or manifest as a Fanconi-like syndrome, Bartter-like syndrome, or distal renal tubular acidosis. We discuss a patient who developed severe renal tubular dysfunction secondary to short-term therapy with Amikacin, resulting in refractory hypokalemia, hypocalcemia, hypomagnesemia, metabolic alkalosis, and polyuria. This constellation of biochemical abnormalities mimic Type 5 Bartters syndrome, where there is activating mutation of the calcium sensing receptor in the thick ascending loop of He... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949957 Mon, 02 Nov 2009 15:50:47 +0100 2949957 http://www.medworm.com/index.php?rid=2949956&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Shinde S V, Tyagi D K, Sawant H V, Puranik G VJournal of Postgraduate Medicine 2009 55(3):206-207 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949956 Mon, 02 Nov 2009 15:50:47 +0100 2949956 http://www.medworm.com/index.php?rid=2949955&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Vaideeswar P, Patil L Y, Mishra PJournal of Postgraduate Medicine 2009 55(3):204-205 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949955 Mon, 02 Nov 2009 15:50:47 +0100 2949955 http://www.medworm.com/index.php?rid=2949954&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Discussion : The authors outline a model which clinicians can re-emphasize to students and juniors based on the fundamentals of clinical practice. The apprenticeship is more important than ever in the days of small group learning. The relinquishing of the traditional model of undergraduate medicine is of concern. The effects of educational reform should be examined by further research into the competencies of graduates entering higher professional training, before it is accepted that this change has been for the better. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949954 Mon, 02 Nov 2009 15:50:47 +0100 2949954 http://www.medworm.com/index.php?rid=2949953&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Sharma S, Malhan P, Pujani M, Pujani MJournal of Postgraduate Medicine 2009 55(3):197-197 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949953 Mon, 02 Nov 2009 15:50:47 +0100 2949953 http://www.medworm.com/index.php?rid=2949952&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Joshi M A, Thakur B A, Dhopade T G, Kamble R SJournal of Postgraduate Medicine 2009 55(3):196-196 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949952 Mon, 02 Nov 2009 15:50:47 +0100 2949952 http://www.medworm.com/index.php?rid=2949951&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We present a case of a 65-year-old male who developed rapidly progressive surgical emphysema of face and upper thorax on the seventh day following total thyroidectomy. Prompt surgical exploration of neck revealed a tracheal rent at the level of the second tracheal ring. This hole was then refashioned into a formal tracheostomy. Patient had an eventful recovery. Tracheostomy was closed by the 14 th day. The complication was probably related to tracheal injury sustained due to electro-coagulation and subsequent secondary infection. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949951 Mon, 02 Nov 2009 15:50:47 +0100 2949951 http://www.medworm.com/index.php?rid=2949950&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bhattacharya M, Rajeshwari K, Sardana K, Gupta PJournal of Postgraduate Medicine 2009 55(3):190-192Granulomatous cheilitis is a chronic granulomatous inflammation of the lips that can be secondary to various etiologies. A few infectious agents including Mycobacterium tuberculosis have been implicated in its etiology. It can be the clinical presentation of a tuberculide resulting from a hypersensitivity reaction to an underlying focus of tuberculosis such as pulmonary tuberculosis. This case report describes a child with granulomatous cheilitis with pulmonary tuberculosis, who responded to anti-tubercular treatment. This is probably the first pediatric case of this rare condition. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949950 Mon, 02 Nov 2009 15:50:47 +0100 2949950 http://www.medworm.com/index.php?rid=2949949&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : Therapy with amitriptyline or physiotherapy is equally effective in improving outcome in patients of fibromyalgia over a period of six months. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949949 Mon, 02 Nov 2009 15:50:47 +0100 2949949 http://www.medworm.com/index.php?rid=2949948&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : Glucoheptonate has high degree of specificity for neoplastic tissues of brain and may be used as a tracer for SPECT study to differentiate neoplastic intracranial lesions from non-neoplastic ones. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949948 Mon, 02 Nov 2009 15:50:47 +0100 2949948 http://www.medworm.com/index.php?rid=2949947&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : Clindamycin is kept as a reserve drug and is usually advocated in severe MRSA infections depending upon the antimicrobial susceptibility results. We have reported a higher incidence of iMLS B from both community (66.67%) as well as hospital (33.33%) setup. Therefore clinical microbiology laboratory should report inducible clindamycin resistance routinely. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949947 Mon, 02 Nov 2009 15:50:47 +0100 2949947 http://www.medworm.com/index.php?rid=2949946&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : Prevalence of RET/PTC in our study was consistent with the reported prevalence from other geographic areas. There was no significant correlation with the clinicopathologic factors. However, uniform techniques of detection and large international collaborative studies could clear the uncertainties regarding the prognostic importance of RET/PTC. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949946 Mon, 02 Nov 2009 15:50:47 +0100 2949946 http://www.medworm.com/index.php?rid=2949945&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion : Most mothers of children with SpLD have already developed mild anxiety levels by the time this hidden disability is diagnosed. These anxieties should be addressed by counseling to ensure optimum rehabilitation of these children. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949945 Mon, 02 Nov 2009 15:50:47 +0100 2949945 http://www.medworm.com/index.php?rid=2949944&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions : APL, positive family history and smoking were significantly associated with stroke in the young. We advocate screening for APL in all young patients with stroke. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949944 Mon, 02 Nov 2009 15:50:47 +0100 2949944 http://www.medworm.com/index.php?rid=2949943&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Lawson KJournal of Postgraduate Medicine 2009 55(3):159-160 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949943 Mon, 02 Nov 2009 15:50:47 +0100 2949943 http://www.medworm.com/index.php?rid=2949942&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Alexiou G AJournal of Postgraduate Medicine 2009 55(3):159-159 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949942 Mon, 02 Nov 2009 15:50:47 +0100 2949942 http://www.medworm.com/index.php?rid=2949941&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bavdekar S BJournal of Postgraduate Medicine 2009 55(3):157-158 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2949941 Mon, 02 Nov 2009 15:50:47 +0100 2949941 http://www.medworm.com/index.php?rid=2500315&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Wilson G, Bhat GJournal of Postgraduate Medicine 2009 55(2):155-156 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500315 Thu, 25 Jun 2009 08:37:04 +0100 2500315 http://www.medworm.com/index.php?rid=2500314&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Tahir M, Sinha S, Sharma S KJournal of Postgraduate Medicine 2009 55(2):154-155 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500314 Thu, 25 Jun 2009 08:37:04 +0100 2500314 http://www.medworm.com/index.php?rid=2500313&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Krishnan Gopee, Tiwari Shivani, Rajashekar BellurJournal of Postgraduate Medicine 2009 55(2):153-154 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500313 Thu, 25 Jun 2009 08:37:04 +0100 2500313 http://www.medworm.com/index.php?rid=2500312&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Dangayach N S, Kulkarni U P, Panchabhai T SJournal of Postgraduate Medicine 2009 55(2):152-153 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500312 Thu, 25 Jun 2009 08:37:04 +0100 2500312 http://www.medworm.com/index.php?rid=2500311&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Krishna S KJournal of Postgraduate Medicine 2009 55(2):151-152 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500311 Thu, 25 Jun 2009 08:37:04 +0100 2500311 http://www.medworm.com/index.php?rid=2500310&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Singh J CJournal of Postgraduate Medicine 2009 55(2):150-151 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500310 Thu, 25 Jun 2009 08:37:04 +0100 2500310 http://www.medworm.com/index.php?rid=2500309&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bhan AJournal of Postgraduate Medicine 2009 55(2):150-150 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500309 Thu, 25 Jun 2009 08:37:04 +0100 2500309 http://www.medworm.com/index.php?rid=2500308&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bajpai S, Shukla V K, Tripathi K, Srikrishna S, Singh R KJournal of Postgraduate Medicine 2009 55(2):143-149The unknown mechanisms of impaired tissue repair in diabetes mellitus are making this disease a serious clinical problem for the physicians worldwide. The lacuna in the knowledge of the etiology of diabetic wounds necessitates more focused research in order to develop new targeting tools with higher efficacy for their effective management. Gap-junction proteins, connexins, have shown some promising results in the process of diabetic wound healing. Till now the role of connexins has been implicated in peripheral neuropathy, deafness, skin disorders, cataract, germ cell development and treatment of cancer. Recent findings have revealed that gap junctions play a key role in normal as we... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500308 Thu, 25 Jun 2009 08:37:04 +0100 2500308 http://www.medworm.com/index.php?rid=2500307&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Harugeri A, Parthasarathi G, Sharma J, D'Souza G A, Ramesh MJournal of Postgraduate Medicine 2009 55(2):141-142A 46-year-old male with uncontrolled asthma on inhaled albuterol and formoterol with budesonide was commenced on montelukast. He developed abdominal pain and jaundice 48 days after initiating montelukast therapy. His liver tests showed an increase in serum total bilirubin, conjugated bilirubin, aspartate aminotranferase, alanine aminotranferase, and alkaline phosphatase. The patient was evaluated for possible non-drug related liver injury. Montelukast was discontinued suspecting montelukast induced hepatocellular liver injury. Liver tests began to improve and returned to normal 55 days after drug cessation. Causality of this adverse drug reaction by the Council for Internat... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500307 Thu, 25 Jun 2009 08:37:04 +0100 2500307 http://www.medworm.com/index.php?rid=2500306&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Hadda V, Pandey B D, Gupta R, Goel AJournal of Postgraduate Medicine 2009 55(2):139-140Azathioprine is commonly used for treatment of lupus nephritis. Myelosuppression is known to occur with azathioprine, but severe pancytopenia is uncommon. A 23-year-old man with lupus nephritis was initially treated with intravenous cyclophosphamide pulses and oral prednisolone along with enalapril and frusemide. Following six months of cyclophosphamide, he was initiated on oral azathioprine as maintenance therapy. He subsequently returned with febrile neutropenia and severe bone marrow suppression. Fever responded to broad spectrum antibiotics and his counts gradually improved following granulocyte-macrophage colony stimulating factor. When last seen in October, he was symptom free and disease activity ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500306 Thu, 25 Jun 2009 08:37:04 +0100 2500306 http://www.medworm.com/index.php?rid=2500305&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Borade A, Prabhu A S, Kumar S, Prasad V, Rajam LJournal of Postgraduate Medicine 2009 55(2):137-138 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500305 Thu, 25 Jun 2009 08:37:04 +0100 2500305 http://www.medworm.com/index.php?rid=2500304&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Kothari K S, Madiwale C V, Deshpande A AJournal of Postgraduate Medicine 2009 55(2):135-136 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500304 Thu, 25 Jun 2009 08:37:04 +0100 2500304 http://www.medworm.com/index.php?rid=2500303&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Puri K S, Suresh K R, Gogtay N J, Thatte U MJournal of Postgraduate Medicine 2009 55(2):131-134The Declaration of Helsinki (DoH) was adopted by the World Medical Association (WMA) in 1964, as a statement of ethical principles, to provide guidance to physicians and other participants in medical research involving human subjects. Having undergone several amendments, the most recent version was approved on 18 October 2008, by the WMA General Assembly at Seoul, South Korea, replacing all previous versions. This version highlights issues such as, participant safety, the need to include participants from otherwise underrepresented groups, clinical trial registration, post-study access, usage of data and human tissues, compensating participants with research-related injury, and usage of placebo. ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500303 Thu, 25 Jun 2009 08:37:04 +0100 2500303 http://www.medworm.com/index.php?rid=2500302&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: The medical education system in Maharashtra is viewed as being stagnant. The respondents emphasized an urgent need for educational reforms, which should include better compensation for teachers, sharing of facilities between government and private medical colleges, and improved efficiency of the Medical Council of India. In the long run a public-private mix with sharing of resources may be a plausible solution. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500302 Thu, 25 Jun 2009 08:37:04 +0100 2500302 http://www.medworm.com/index.php?rid=2500301&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp This report provides an insight into the natural history of renal pseudoaneurysm and suggests a potential option of managing them conservatively. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500301 Thu, 25 Jun 2009 08:37:04 +0100 2500301 http://www.medworm.com/index.php?rid=2500300&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We describe two cases of renal amyloidosis in association with childhood tuberculosis. The first case was a 10-year-old girl who presented with abdominal tuberculosis and nephrotic syndrome, while the second case was a 5-year-old boy who presented with disseminated tuberculosis and nephrotic syndrome. They were found to have amyloidosis on renal biopsy. The former was treated with anti-tubercular drugs, while the latter required anti-tubercular drugs and steroids. Both the cases showed clinical improvement with remission of nephrotic syndrome. Successful treatment of tuberculosis can result in remission of nephrotic syndrome due to secondary renal amyloidosis. It is important, especially in developing countries, to be aware that tuberculosis continues to be part of the differential diagnos... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500300 Thu, 25 Jun 2009 08:37:04 +0100 2500300 http://www.medworm.com/index.php?rid=2500299&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: Sexual problems suggestive of dysfunction, as suggested by FSFI total and domain scores, are highly prevalent in the clinic setting, particularly among women above 40 and those less educated, but confirmation using locally validated cut-off scores of the FSFI is needed. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500299 Thu, 25 Jun 2009 08:37:04 +0100 2500299 http://www.medworm.com/index.php?rid=2500298&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: PCS was very well accepted by patients during central neuraxial block. Propofol regimen (2 ml in 2 min) in PCS was safe, as it caused neither apnea nor significant hypotension. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500298 Thu, 25 Jun 2009 08:37:04 +0100 2500298 http://www.medworm.com/index.php?rid=2500297&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: Although the package inserts appear to have improved over the past decade there is still a definite need to further refine the clinical information contained, to minimize the risks to patients. This could be brought about by self-regulation on the part of the industry as well as by updating the relevant guidelines in line with those of developed countries. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500297 Thu, 25 Jun 2009 08:37:04 +0100 2500297 http://www.medworm.com/index.php?rid=2500296&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: The present study has identified domains and facets that need to be addressed by counselors for improving overall QOL of these parents. Initiating these measures would also improve the home environment and help in the rehabilitation of children with SpLD. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500296 Thu, 25 Jun 2009 08:37:04 +0100 2500296 http://www.medworm.com/index.php?rid=2500295&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: The study identified risk factors associated with DR in the rural population with diabetes. The results suggested that there was a need for formulating effective preventive strategies to minimize avoidable blindness due to diabetes, in rural areas. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500295 Thu, 25 Jun 2009 08:37:04 +0100 2500295 http://www.medworm.com/index.php?rid=2500294&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Cattano DJournal of Postgraduate Medicine 2009 55(2):91-91 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500294 Thu, 25 Jun 2009 08:37:04 +0100 2500294 http://www.medworm.com/index.php?rid=2500293&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Mohan V, Pradeepa RJournal of Postgraduate Medicine 2009 55(2):89-90 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500293 Thu, 25 Jun 2009 08:37:04 +0100 2500293 http://www.medworm.com/index.php?rid=2500292&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bavdekar S B, Thatte U MJournal of Postgraduate Medicine 2009 55(2):87-88 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2500292 Thu, 25 Jun 2009 08:37:04 +0100 2500292 http://www.medworm.com/index.php?rid=2214221&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Krishnamurthy S, Samanta D, Yadav SJournal of Postgraduate Medicine 2009 55(1):76-77 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214221 Thu, 26 Feb 2009 09:57:21 +0100 2214221 http://www.medworm.com/index.php?rid=2214220&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Ashrafian H, Salih C, Darzi A, Athanasiou TJournal of Postgraduate Medicine 2009 55(1):75-76 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214220 Thu, 26 Feb 2009 09:57:21 +0100 2214220 http://www.medworm.com/index.php?rid=2214219&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Singh D PJournal of Postgraduate Medicine 2009 55(1):74-75 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214219 Thu, 26 Feb 2009 09:57:21 +0100 2214219 http://www.medworm.com/index.php?rid=2214218&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Benjamin SPEJournal of Postgraduate Medicine 2009 55(1):73-74 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214218 Thu, 26 Feb 2009 09:57:21 +0100 2214218 http://www.medworm.com/index.php?rid=2214217&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bissoli FJournal of Postgraduate Medicine 2009 55(1):73-73 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214217 Thu, 26 Feb 2009 09:57:21 +0100 2214217 http://www.medworm.com/index.php?rid=2214216&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Kulkarni Gaurav VJournal of Postgraduate Medicine 2009 55(1):72-72 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214216 Thu, 26 Feb 2009 09:57:21 +0100 2214216 http://www.medworm.com/index.php?rid=2214215&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We present a rare but potentially harmful adverse reaction of propofol. A 50-year-old patient was posted for laparoscopic cholecystectomy, developed generalized convulsions after few seconds of propofol administration at anesthesia induction. Convulsions subsided with intravenous administrations of thiopentone and midazolam. Patient remained hemodynamically stable and surgery was uneventful. Blood sugar, serum electrolytes and arterial blood gas analysis were normal. Postoperatively, there was no evidence of postictal phase, serum electrolytes and postoperative computerized tomographic scanning of the head were normal. Patient had uneventful recovery. The administration of propofol has been associated with abnormal movements collectively termed as seizure-like phenomenon. Despite the claim... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214215 Thu, 26 Feb 2009 09:57:21 +0100 2214215 http://www.medworm.com/index.php?rid=2214214&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bhattacharya M, Parakh A, Narang MJournal of Postgraduate Medicine 2009 55(1):65-68Infection with resistant pathogens can adversely affect clinical, microbiological and economic outcomes. New agents for the treatment of many such serious infections are acutely needed in hospital practice. Tigecycline is a novel glycylcycline antimicrobial for intravenous use. It has an expanded broad-spectrum antibacterial activity including multi-drug resistant pathogens, like methicillin-resistant Staphylococcus aureus , vancomycin-resistant enterococci , multi-drug resistant Streptococcus pneumoniae , extended-spectrum β-lactamase-producing gram-negative bacteria and Acinetobacter baumannii . Tigecycline however is not active against Proteus, Providencia and Pseudomonas species. Its currently appro... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214214 Thu, 26 Feb 2009 09:57:21 +0100 2214214 http://www.medworm.com/index.php?rid=2214213&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Dutta T K, Venugopal VJournal of Postgraduate Medicine 2009 55(1):55-64Venous thromboembolism (VTE) has been a subject of great interest of late. Since Rudolph Virchow described the famous Virchows triad in 1856, there have been rapid strides in the understanding of the pathogenesis and factors responsible for it. Discovery of various thrombophilic factors, both primary and acquired, in the last 40 years has revolutionized prognostication and management of this potentially life-threatening condition due to its associated complication of pulmonary thromboembolism. Detailed genetic mapping and linkage analyses have been underlining the fact that VTE is a multifactorial disorder and a complex one. There are many gene-gene and gene-environment interactions that alter and magnify the clinical p... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214213 Thu, 26 Feb 2009 09:57:21 +0100 2214213 http://www.medworm.com/index.php?rid=2214212&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Murthy N S, Mukherjee S, Ray G, Ray AJournal of Postgraduate Medicine 2009 55(1):45-54Obesity is a growing health problem in developed nations and in countries that are in the process of westernization like India. Obesity is linked with several health disorders such as hypertension and cardiovascular diseases, Type 2 diabetes, dyslipidemia and certain cancers. Currently, obesity-related malignancies, e.g., cancers of the breast, prostate and colon are the leading cancers in the industrialized societies. An increased amount of fat or adipose tissue in an overweight or obese person probably influences the development of cancer by releasing several hormone-like factors or adipokines. The majority of adipokines are pro-inflammatory, which promote pathological conditions like insulin resistance... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214212 Thu, 26 Feb 2009 09:57:21 +0100 2214212 http://www.medworm.com/index.php?rid=2214211&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bakshi J, Venables P J, Abraham SJournal of Postgraduate Medicine 2009 55(1):43-44 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214211 Thu, 26 Feb 2009 09:57:21 +0100 2214211 http://www.medworm.com/index.php?rid=2214210&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Ignjatovic MJournal of Postgraduate Medicine 2009 55(1):41-42 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214210 Thu, 26 Feb 2009 09:57:21 +0100 2214210 http://www.medworm.com/index.php?rid=2214209&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We report a case of PTTM identified ante-mortem by bronchial biopsy in an 82-year-old woman presenting with a clinical picture of atypical pneumonia. Autopsy confirmed PTTM, from an unknown primary neoplasm. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214209 Thu, 26 Feb 2009 09:57:21 +0100 2214209 http://www.medworm.com/index.php?rid=2214208&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We report the first case of alkaptonuria with ochronotic arthropathy presenting with recurrent acute anterior uveitis as the initial manifestation. The possible common link with the HLA-B27 gene is discussed. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214208 Thu, 26 Feb 2009 09:57:21 +0100 2214208 http://www.medworm.com/index.php?rid=2214207&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Tsili A C, Giannakis D, Sofikitis N, Tsampoulas KJournal of Postgraduate Medicine 2009 55(1):33-34A 74-year-old man underwent multidetector CT virtual cystoscopy due to macroscopic hematuria. A large, irregularly-surfaced, solid bladder mass was detected, infiltrating the perivesical fat, the seminal vesicles and the prostate. CT examination of the chest and abdomen showed no distant metastases. Radical cystectomy was performed and pathology reported pure small cell carcinoma of the urinary bladder. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214207 Thu, 26 Feb 2009 09:57:21 +0100 2214207 http://www.medworm.com/index.php?rid=2214206&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Bergovac M, Knezevic A, Plavec D, Trkulja VJournal of Postgraduate Medicine 2009 55(1):27-32Background: Telmisartan provides effective treatment of hypertension in a broad spectrum of patients. Aims: To evaluate factors affecting the efficacy of telmisartan in daily clinical practice. Setting and Design: Prospective practice-based 12-week uncontrolled cohort study. Materials and Methods: Consecutive incident/prevalent outpatients with mild to moderate essential hypertension were started on telmisartan 40 mg/day with optional up-titration to 80 mg/day in order to achieve seated systolic (SSBP) and diastolic (SDBP) blood pressure (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214206 Thu, 26 Feb 2009 09:57:21 +0100 2214206 http://www.medworm.com/index.php?rid=2214205&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: In patients undergoing hemorrhoidectomy, addition of surgical internal sphincterotomy results in lesser pain in the postoperative period as compared to those receiving topical application of Diltiazem. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214205 Thu, 26 Feb 2009 09:57:21 +0100 2214205 http://www.medworm.com/index.php?rid=2214204&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: A low detection rate of prostate cancer observed in the PSA range of 4-20 ng/ml in LUTS patients indicates the need for use of higher cutoff values of PSA in such cases. Therefore we recommend a cutoff of 20 ng/ml of PSA for evaluation of detection rate of prostate cancer among patients presenting with LUTS. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214204 Thu, 26 Feb 2009 09:57:21 +0100 2214204 http://www.medworm.com/index.php?rid=2214203&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: During the audit it was realized that in maternal mortality autopsies, special emphasis should be given to clinicopathologic correlation, microbiological studies, identification of thromboembolic phenomenon and adequate sectioning of relevant organs. We found difficulty in identification of placental bed in the uterus in postpartum autopsies. A systematic approach can help us for better understanding of the pathophysiology of diseases occurring in pregnancy. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214203 Thu, 26 Feb 2009 09:57:21 +0100 2214203 http://www.medworm.com/index.php?rid=2214202&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: Indirect causes like rheumatic heart disease and infections like tuberculosis, malaria or leptospirosis and nutritional anemia are still major causes of maternal mortality in developing countries like India. Intensive efforts need to be taken in these areas to reduce the maternal mortality in developing countries like India. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214202 Thu, 26 Feb 2009 09:57:21 +0100 2214202 http://www.medworm.com/index.php?rid=2214201&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: Cases, as well as their parents showed more cognitive impairment than controls on the TMT. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214201 Thu, 26 Feb 2009 09:57:21 +0100 2214201 http://www.medworm.com/index.php?rid=2214200&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Salvi VJournal of Postgraduate Medicine 2009 55(1):1-2 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=2214200 Thu, 26 Feb 2009 09:57:21 +0100 2214200 http://www.medworm.com/index.php?rid=1893452&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Brahmachari B, Hazra A, Majumdar AJournal of Postgraduate Medicine 2008 54(4):339-340 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893452 Wed, 22 Oct 2008 08:17:03 +0100 1893452 http://www.medworm.com/index.php?rid=1893451&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Chhabra A, Subramaniam RJournal of Postgraduate Medicine 2008 54(4):337-339 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893451 Wed, 22 Oct 2008 08:17:03 +0100 1893451 http://www.medworm.com/index.php?rid=1893450&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Willey J Z, Harrison D M, Schumacher H CJournal of Postgraduate Medicine 2008 54(4):336-337 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893450 Wed, 22 Oct 2008 08:17:03 +0100 1893450 http://www.medworm.com/index.php?rid=1893449&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Sharma V, Sharma A, Aggarwal SJournal of Postgraduate Medicine 2008 54(4):335-336 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893449 Wed, 22 Oct 2008 08:17:03 +0100 1893449 http://www.medworm.com/index.php?rid=1893448&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Das SJournal of Postgraduate Medicine 2008 54(4):335-335 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893448 Wed, 22 Oct 2008 08:17:03 +0100 1893448 http://www.medworm.com/index.php?rid=1893447&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We describe a case of a seven-year-old boy with diagnosis of NS after intramuscular benzathine penicillin injection to the ventrolateral aspect of the left thigh. Characteristic violaceous discoloration of skin and immediate injection site pain identified it as a case of NS. The case was complicated by rapid progression of compartment syndrome of the lower limb, proceeding to acute renal failure and death. Associated compartment syndrome can be postulated as a poor prognostic factor for NS. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893447 Wed, 22 Oct 2008 08:17:03 +0100 1893447 http://www.medworm.com/index.php?rid=1893446&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Dhamangaonkar A CJournal of Postgraduate Medicine 2008 54(4):331-331 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893446 Wed, 22 Oct 2008 08:17:03 +0100 1893446 http://www.medworm.com/index.php?rid=1893445&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Surendiran A, Krishna Kumar D, Adithan CJournal of Postgraduate Medicine 2008 54(4):330-331 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893445 Wed, 22 Oct 2008 08:17:03 +0100 1893445 http://www.medworm.com/index.php?rid=1893444&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Singla V, Galwa R P, Saxena A K, Khandelwal NJournal of Postgraduate Medicine 2008 54(4):328-329 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893444 Wed, 22 Oct 2008 08:17:03 +0100 1893444 http://www.medworm.com/index.php?rid=1893443&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Choudhury M, Pujani M, Singh S K, Biswas RJournal of Postgraduate Medicine 2008 54(4):326-327 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893443 Wed, 22 Oct 2008 08:17:03 +0100 1893443 http://www.medworm.com/index.php?rid=1893442&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Muddaiah M, Varghese G KJournal of Postgraduate Medicine 2008 54(4):324-325 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893442 Wed, 22 Oct 2008 08:17:03 +0100 1893442 http://www.medworm.com/index.php?rid=1893441&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Thatte U M, Bavdekar S BJournal of Postgraduate Medicine 2008 54(4):318-323India is considered as a preferred site for conducting global clinical trials. Existence of a large treatment-naοve population, availability of English-speaking, skilled doctors, plenty of clinical material, and cost-savings are obvious advantages for carrying out clinical research in India. However, challenges exist at various levels. Lack of formal training in bioethics and research methodology, heavy burden of clinical duties and sub-optimal administrative support restrict investigators. Absence of oversight of functioning of ethics committees (ECs) and lack of mechanisms for ensuring quality of ethics review heighten societal concerns about safety of participants. Conducting research on issues not relevant ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893441 Wed, 22 Oct 2008 08:17:03 +0100 1893441 http://www.medworm.com/index.php?rid=1893440&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We report a number of serious side-effects associated with a large overdose of lamotrigine. A 23-year-old female presented to the emergency department after taking an intentional overdose of 9.2 g of lamotrigine, 56 mg of chlorpheniramine, and 220 mg of citalopram. On admission, she had a reduced level of consciousness and electrocardiographic abnormalities; a widened QRS and a prolonged corrected QT (QTc) interval. Prompt treatment with early intubation, along with the use of magnesium for cardioprotection and administration of sodium bicarbonate may have aided in a quick recovery with a short intensive care stay and good outcome. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893440 Wed, 22 Oct 2008 08:17:03 +0100 1893440 http://www.medworm.com/index.php?rid=1893439&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp We report a case of a prevesical hydatid cyst. A 53-year-old man was admitted with a large suprapubic mass. Ultrasonography and computed tomography revealed a cystic mass situated in front of the urinary bladder. There were no cysts in any other location. Serological tests were positive for Echinococcus. The patient was operated on and the cyst was completely excised. The pathologic examination confirmed the diagnosis of Echinococcosis. Isolated hydatid cyst situated in front of the urinary bladder has never been described in the literature. Hydatid cyst should always be considered in the differential diagnosis of abdominopelvic masses in endemic regions, before any procedure like puncture, biopsy or cystectomy, in order to avoid dissemination of the cystic contents or an anaphylactic shoc... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893439 Wed, 22 Oct 2008 08:17:03 +0100 1893439 http://www.medworm.com/index.php?rid=1893438&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusion: Spousal violence is specifically associated as an independent risk factor for two adverse womens health outcomes, viz., STI and attempted suicide. Public health and clinical programs targeting these outcomes must specifically address spousal violence. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893438 Wed, 22 Oct 2008 08:17:03 +0100 1893438 http://www.medworm.com/index.php?rid=1893437&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: If we do not identify victims of IPV in the ED, this may result in continuation of the abuse, routine returns to the ED for treatment of injuries, and possibly even death. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893437 Wed, 22 Oct 2008 08:17:03 +0100 1893437 http://www.medworm.com/index.php?rid=1893436&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp This article reviews recent literature regarding intimate partner violence (IPV) and resultant PTSD symptoms. The article is intended to be an introduction to the topic rather than an exhaustive review of the extensive literature in this area. Factors that enhance and reduce the risk for PTSD, including social support, coping styles, and types of abusive behavior experienced, are described. In addition, the unique risks associated with IPV for women who have children are discussed. Prevention efforts and treatment are briefly reviewed. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893436 Wed, 22 Oct 2008 08:17:03 +0100 1893436 http://www.medworm.com/index.php?rid=1893435&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Larkin W, Read JJournal of Postgraduate Medicine 2008 54(4):287-293There is currently a growing body of research examining environmental factors in the etiology of psychosis. Much recent interest has focused on the relationship between childhood trauma and the risk of developing psychotic experiences later in life. Numerous studies of psychiatric patients where the majority are diagnosed psychotic indicate that the prevalence of traumatic experiences in this group is high. This body of research now includes many large-scale population-based studies controlling for possible mediating variables, which together provide persuasive evidence of a dose-response association and are indicative of a causal relationship. Several psychological and biological models have been proposed which offer credi... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893435 Wed, 22 Oct 2008 08:17:03 +0100 1893435 http://www.medworm.com/index.php?rid=1893434&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Gonzalez A, MacMillan H LJournal of Postgraduate Medicine 2008 54(4):280-286Child maltreatment is a significant public health problem associated with a broad range of negative outcomes in children and adolescents that can extend into adulthood. This review summarizes information about programs aimed at the prevention of child maltreatment evaluated by controlled trials, with a focus on home visitation programs. It does not include programs aimed at prevention of child sexual abuse, the subject of a separate review in this series. We discuss those programs that include one or more measures of child maltreatment and related outcomes (reports of abuse and neglect, injuries, hospitalizations and emergency room visits). Most programs targeting at-risk families have not shown evidence of effecti... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893434 Wed, 22 Oct 2008 08:17:03 +0100 1893434 http://www.medworm.com/index.php?rid=1893433&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Garg S, Nath AJournal of Postgraduate Medicine 2008 54(4):276-279The preference for a son continues to be a prevalent norm in the traditional Indian household. This is evident from the declining sex ratio which has dropped to alarming levels, especially in the northern states according to Census 2001 reports. The proliferation and abuse of advanced technologies coupled with social factors contributing to the low status of women such as dowry, concerns with family name and looking up to the son as a breadwinner has made the evil practice of female feticide to become common in the middle and higher socioeconomic households, especially in the northern states. Despite the existence of the Prenatal Diagnostic Techniques Act, there is a dire need to strengthen this law since the number of convic... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893433 Wed, 22 Oct 2008 08:17:03 +0100 1893433 http://www.medworm.com/index.php?rid=1893432&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Fcurrentissue.asp Conclusions: The study finding showed that the Persian version of SF-36 questionnaire has a good structural characteristic and is a reliable and valid instrument for measuring the quality of life of patients with thalassemia major. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=1893432 Wed, 22 Oct 2008 08:17:03 +0100 1893432