Journal of Postgraduate Medicine via MedWorm.com 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, 21 Jan 2012 09:16:32 +0100 Primary tubercular liver abscess rupture leading to parietal wall abscess: A rare disease with a rare complication http://www.medworm.com/index.php?rid=5435999&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F350%2F90095 G Gupta, S Nijhawan, P Katiyar, A MathurJournal of Postgraduate Medicine 2011 57(4):350-352 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435999 Tue, 22 Nov 2011 05:00:00 +0100 5435999 Low-dose aspirin and preeclampsia prevention http://www.medworm.com/index.php?rid=5435998&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F350%2F90094 S Wiwanitkit, V WiwanitkitJournal of Postgraduate Medicine 2011 57(4):350-350 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435998 Tue, 22 Nov 2011 05:00:00 +0100 5435998 Improving the rates of cadaver organ donation in a tertiary care transplant centre: A role for medical students and ancillary staff http://www.medworm.com/index.php?rid=5435997&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F347%2F90093 SS Patwardhan, GV KulkarniJournal of Postgraduate Medicine 2011 57(4):347-349 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435997 Tue, 22 Nov 2011 05:00:00 +0100 5435997 An unusual cause of hyperglycemia http://www.medworm.com/index.php?rid=5435996&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F343%2F90092 R Lal, LA Loomba-Albrecht, AA BremerJournal of Postgraduate Medicine 2011 57(4):343-346 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435996 Tue, 22 Nov 2011 05:00:00 +0100 5435996 Amlodipine-induced petechial rash http://www.medworm.com/index.php?rid=5435995&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F341%2F90091 MB Murthy, B MurthyJournal of Postgraduate Medicine 2011 57(4):341-342A patient of essential hypertension stabilized on 10 mg amlodipine once daily developed brownish black petechial non-blanching macular rash bilaterally covering the limbs below the knee and dorsum of the feet. History, general and clinical examinations and lab investigations revealed no abnormalities. Temporal association of the onset of rash with amlodipine use, inability to explain rash by natural history of hypertension, possibility of rash with amlodipine and rash resolution on dechallenge placed this reaction in Naranjo score of 6, a probable adverse reaction to amlodipine. Hence the drug was replaced by enalapril. The rash resolved completely over a period of eight weeks. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435995 Tue, 22 Nov 2011 05:00:00 +0100 5435995 A diagnostic dilemma: Arteriovenous malformation of spermatic cord presenting as irreducible inguinal swelling http://www.medworm.com/index.php?rid=5435994&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F339%2F90090 MA Joshi, M Gadhire, A Dhake, M PatilJournal of Postgraduate Medicine 2011 57(4):339-340 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435994 Tue, 22 Nov 2011 05:00:00 +0100 5435994 Atypical presentation of joint infection by an unusual organism http://www.medworm.com/index.php?rid=5435993&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F338%2F90089 SP Roy, AP Singla, SK Jain, ON NagiJournal of Postgraduate Medicine 2011 57(4):338-339 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435993 Tue, 22 Nov 2011 05:00:00 +0100 5435993 Anterior abdominal wall abscess with epididymo-orchitis: An unusual presentation of acute pancreatitis http://www.medworm.com/index.php?rid=5435992&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F335%2F90088 PM Kamble, A Patil, S Jadhav, SA RaoJournal of Postgraduate Medicine 2011 57(4):335-337Pancreatitis indicates inflammation of the pancreas. Clinically acute pancreatitis typically presents as upper abdominal pain mostly in epigastric region, nausea, vomiting and elevated levels of amylase and lipase. Depending upon severity of acute pancreatitis patient may presents with minimal symptoms to more severe signs of acute abdomen like generalized guarding and rigidity. Inspite of absence of disease-specific signs and symptoms for acute pancreatitis, diagnosis is usually not difficult using a combination of clinical, laboratory and radiological findings. Sometimes pancreatitis may presents atypically, which may be misleading in the management especially when typical presentation of pancreatitis ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435992 Tue, 22 Nov 2011 05:00:00 +0100 5435992 Leiomyosarcoma of inferior vena cava http://www.medworm.com/index.php?rid=5435991&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F332%2F90087 We present a rare case of leiomyosarcoma of IVC at level II being diagnosed with proper radiological investigations and its management with further stress on offering chemo-radiotherapy after its surgical removal as compared to only surgery performed earlier. This case report will throw some light on the proper management of such rare tumors in terms of their exact diagnosis and treatment in order to prolong patient survival. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435991 Tue, 22 Nov 2011 05:00:00 +0100 5435991 Neuralgic amyotrophy associated with dengue fever: Case series of three patients http://www.medworm.com/index.php?rid=5435990&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F329%2F90086 R Verma, P Sharma, N Khurana, LN SharmaJournal of Postgraduate Medicine 2011 57(4):329-331Dengue is an acute mosquito borne viral infection caused by one of the four distinct serotype of dengue viruses (type 1-4), belonging to flavivirus family. Dengue fever, an arboviral infection is known to cause various neurological complications. Commonly reported neurological manifestations associated with dengue infection are encephalopathy, myelopathy, stroke, Guillain-Barre syndrome and hypokalemic paralysis. Brachial amyotrophy associated with dengue infection were not described previously. Here, we describe three patients presenting with brachial neuritis associated with dengue infection. Dengue infection should be considered in the etiological list of brachial neuritis in dengue endemic areas, ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435990 Tue, 22 Nov 2011 05:00:00 +0100 5435990 Statin intolerance: Now a solved problem http://www.medworm.com/index.php?rid=5435989&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F321%2F90085 P Sikka, S Kapoor, VK Bindra, M Sharma, P Vishwakarma, KK SaxenaJournal of Postgraduate Medicine 2011 57(4):321-328Statins are the most effective and widely used drugs for treating dyslipidemia, a major risk factor for coronary heart disease. These are one of the safest hypolipidemic drugs but many patients are bound to discontinue statins due to their side effects. Hepatotoxicity, myotoxicity and peripheral neuropathy are important out of them. Discontinuation of statins leads to dylipidemia and its grave consequences. Hence, there should be enough strategies for statin intolerant patients, so that they can be saved from these consequences. These side effects can be avoided by the awareness of certain factors viz. potential drug interactions and dose adjustment according to patho-physiolo... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435989 Tue, 22 Nov 2011 05:00:00 +0100 5435989 Foothold of NPHS2 mutations in primary nephrotic syndrome http://www.medworm.com/index.php?rid=5435988&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F314%2F90083 AT Jaffer, WU Ahmed, DS Raju, P JahanJournal of Postgraduate Medicine 2011 57(4):314-320Glomerular podocytes are highly specialized cells with a complex cytoarchitecture. Their most prominent features are interdigitated foot processes with filtration slits in between. These are bridged by the slit diaphragm, which plays a major role in establishing the selective permeability of the glomerular filtration barrier. We searched Medline and Pubmed using the combination of keywords "NPHS2", "podocin", "steroid-resistant nephrotic syndrome," and "genetics" to identify studies describing an association between NPHS2 gene and renal disease. The highly dynamic foot processes contain an actin-based contractile apparatus comparable to that of smooth muscle cells... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435988 Tue, 22 Nov 2011 05:00:00 +0100 5435988 Tuberculosis and female reproductive health http://www.medworm.com/index.php?rid=5435987&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F307%2F90082 K Ghosh, K Ghosh, JR ChowdhuryJournal of Postgraduate Medicine 2011 57(4):307-313Tuberculosis (TB) is an important cause of mortality and morbidity all over the world and is particularly relevant in developing countries like India where the disease is endemic. Female reproductive system is very vulnerable to this infection and clinical presentation of this disease in female reproductive tract is protean in nature and in a large majority of patients could be completely silent. This disease is an important cause of infertility, menstrual irregularity, pregnancy loss, and in association with pregnancy, morbidity to both the mother and child increases. Some of the effects of TB infection on female genital tract could be remote in nature due to infection elsewhere. Medicines used to treat TB in... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435987 Tue, 22 Nov 2011 05:00:00 +0100 5435987 Diabetes insipidus as the first symptom caused by lung cancer metastasis to the pituitary glands: Clinical presentations, diagnosis, and management http://www.medworm.com/index.php?rid=5435986&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F302%2F90080 Conclusions : New-onset CDI might be the only symptom presented by the patients with pituitary metastasis (PM) from lung cancer. Dumbbell-shaped sellar masses in MRI are prone to the diagnosis of PM. A thorough examination for primary cancer should be carried out in these aged and elderly patients. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435986 Tue, 22 Nov 2011 05:00:00 +0100 5435986 Severe and critical cases of H1N1 influenza in pregnancy: A chinese perspective http://www.medworm.com/index.php?rid=5435985&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F298%2F90079 Conclusions : Gestational age is associated with the risk of developing critical infection. The risk increases with increasing weeks of gestation. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435985 Tue, 22 Nov 2011 05:00:00 +0100 5435985 An evaluation of the effect of atorvastatin on memory and psychomotor functions in hypertensive patients http://www.medworm.com/index.php?rid=5435984&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F291%2F90078 Conclusion : Atorvastatin, at 10 mg/day dose, does not have any significant effect on memory and psychomotor functions in hypertensive patients treated with enalapril or amlodipine. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435984 Tue, 22 Nov 2011 05:00:00 +0100 5435984 Clinical characteristics and outcomes of patients with acute lung injury and ARDS http://www.medworm.com/index.php?rid=5435983&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F286%2F90077 Conclusion : Malaria, leptospirosis, and undiagnosed fever were the main etiologies followed by pneumonia, urinary tract infections, and pancreatitis. Both the PaO 2 /FiO 2 ratio and lung injury score (LIS) at the time of admission were significant predictors of the outcome and of necessity of mechanical ventilation. PaO 2 /FiO 2 was a better predictor of duration of stay at the intensive care unit than the LIS. Sepsis, acidosis, hypotension, and multiorgan failure were individual predictors of mortality in patients with ALI/ARDS while age, sex, anemia, thrombocytopenia, renal failure, hepatic failure, and X-ray picture were not predictors of the outcome. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435983 Tue, 22 Nov 2011 05:00:00 +0100 5435983 Evaluation of eperisone hydrochloride in the treatment of acute musculoskeletal spasm associated with low back pain: A randomized, double-blind, placebo-controlled trial http://www.medworm.com/index.php?rid=5435982&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F278%2F90076 Conclusions : Eperisone hydrochloride was effective and well tolerated for the treatment of patients with AMSP with LBP. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435982 Tue, 22 Nov 2011 05:00:00 +0100 5435982 Prevalence of diabetes, obesity, and metabolic syndrome in subjects with and without schizophrenia (CURES-104) http://www.medworm.com/index.php?rid=5435981&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F272%2F90075 Conclusion : In subjects with schizophrenia, the prevalence of diabetes, IFG, abdominal obesity, and MS is significantly higher than in those without schizophrenia. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435981 Tue, 22 Nov 2011 05:00:00 +0100 5435981 Managing non-ketotic childhood hyperglycemia http://www.medworm.com/index.php?rid=5435980&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F270%2F90073 V Shivane, A Lila, T Bandgar, N ShahJournal of Postgraduate Medicine 2011 57(4):270-271 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435980 Tue, 22 Nov 2011 05:00:00 +0100 5435980 Newer diagnostics for detection of multidrug-resistant tuberculosis http://www.medworm.com/index.php?rid=5435979&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F4%2F267%2F90072 G NatarajJournal of Postgraduate Medicine 2011 57(4):267-269 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5435979 Tue, 22 Nov 2011 05:00:00 +0100 5435979 How honest is the h-index in measuring individual research output? http://www.medworm.com/index.php?rid=5244586&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F264%2F85233 BK Patro, AK AggarwalJournal of Postgraduate Medicine 2011 57(3):264-265 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244586 Thu, 22 Sep 2011 04:00:00 +0100 5244586 Postgraduate entrance test reforms http://www.medworm.com/index.php?rid=5244585&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F263%2F85232 SV ParulekarJournal of Postgraduate Medicine 2011 57(3):263-264 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244585 Thu, 22 Sep 2011 04:00:00 +0100 5244585 Altered sensorium in scrub typhus http://www.medworm.com/index.php?rid=5244584&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F262%2F85231 B Remalayam, S Viswanathan, V Muthu, S MookappanJournal of Postgraduate Medicine 2011 57(3):262-263 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244584 Thu, 22 Sep 2011 04:00:00 +0100 5244584 An uncommon catastrophe associated with methotrexate http://www.medworm.com/index.php?rid=5244583&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F261%2F85230 D Gude, GS Chinnam, DP BansalJournal of Postgraduate Medicine 2011 57(3):261-262 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244583 Thu, 22 Sep 2011 04:00:00 +0100 5244583 A curious case of chylothorax http://www.medworm.com/index.php?rid=5244582&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F259%2F85229 AA Karnik, NP PatelJournal of Postgraduate Medicine 2011 57(3):259-261 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244582 Thu, 22 Sep 2011 04:00:00 +0100 5244582 Large cavernous hemangioma of the skull base associated with an angular artery aneurysm http://www.medworm.com/index.php?rid=5244581&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F258%2F85228 X Wang, J Li, G Li, C YouJournal of Postgraduate Medicine 2011 57(3):258-259 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244581 Thu, 22 Sep 2011 04:00:00 +0100 5244581 Nonalcoholic fatty liver disease in South India http://www.medworm.com/index.php?rid=5244580&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F257%2F85227 R Pellicano, S FagooneeJournal of Postgraduate Medicine 2011 57(3):257-258 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244580 Thu, 22 Sep 2011 04:00:00 +0100 5244580 Reporting of outcomes in drug promotional materials distributed by pharmaceutical companies http://www.medworm.com/index.php?rid=5244579&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F256%2F85226 C Jaykaran, D Saxena, P Yadav, ND KanthariaJournal of Postgraduate Medicine 2011 57(3):256-257 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244579 Thu, 22 Sep 2011 04:00:00 +0100 5244579 A fluke occurrence of paramount significance http://www.medworm.com/index.php?rid=5244578&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F255%2F85225 D Gude, DP BansalJournal of Postgraduate Medicine 2011 57(3):255-256 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244578 Thu, 22 Sep 2011 04:00:00 +0100 5244578 A giant mesocolic lipoma - presenting as an irreducible sliding inguinal hernia: A case report of a rare clinical presentation http://www.medworm.com/index.php?rid=5244577&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F253%2F85224 AB Pachani, A Reza, RV Jadhav, S MathewsJournal of Postgraduate Medicine 2011 57(3):253-255 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244577 Thu, 22 Sep 2011 04:00:00 +0100 5244577 Bloodletting - An Ayurvedic perspective http://www.medworm.com/index.php?rid=5244576&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F253%2F85223 HS Sathish, DB VaghelaJournal of Postgraduate Medicine 2011 57(3):253-253 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244576 Thu, 22 Sep 2011 04:00:00 +0100 5244576 Status epilepticus: Why, what, and how http://www.medworm.com/index.php?rid=5244575&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F242%2F81807 PP Nair, J Kalita, UK MisraJournal of Postgraduate Medicine 2011 57(3):242-252Status epilepticus (SE) is an important neurological emergency with high mortality and morbidity. The first official definition of SE was the product of 10 th Marseilles colloquium held in 1962 which was accepted by International League Against Epilepsy in 1964. There are as many types of SE as of seizures. SE is supposed to result from failure of normal mechanisms that terminate an isolated seizure. In half of the cases, there is no history of epilepsy and SE is precipitated by some intercurrent infection. In children, it is often infection, whereas in adults, the major causes are stroke, hypoxia, metabolic derangements, and alcohol intoxication or drug withdrawal. The treatment of SE aims at termination of SE, ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244575 Thu, 22 Sep 2011 04:00:00 +0100 5244575 A framework for healthcare quality improvement in India: The time is here and now! http://www.medworm.com/index.php?rid=5244574&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F237%2F85222 This article discusses the framework for QI and reviews the Plan-Do-Study-Act (PDSA), Lean and Six Sigma methodologies, and briefly discusses key patient safety and quality measurement concepts. The PDSA cycle assists in testing the ideas through small tests of change or "pilots". Six Sigma aims at reducing variations in processes, and the Lean methodology predominantly focuses on enhancing process efficiency and eliminating non-value added steps in the process. It is likely that such structured problem solving approaches will provide an objective and systematic method of enhancing quality in healthcare institutions across India. As increasing attention being is paid on enhancing the quality of life through the Quality Council of India and accreditation of hospitals in India thro... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244574 Thu, 22 Sep 2011 04:00:00 +0100 5244574 A young adult with progressive limb shaking and slowness http://www.medworm.com/index.php?rid=5244573&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F231%2F85221 RT Chakor, GC RajadhyakshaJournal of Postgraduate Medicine 2011 57(3):231-236 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244573 Thu, 22 Sep 2011 04:00:00 +0100 5244573 Ectopic liver tissue in umbilical cord http://www.medworm.com/index.php?rid=5244572&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F229%2F85220 P Vaideeswar, D Yewatkar, R Nanavati, P BhuiyanJournal of Postgraduate Medicine 2011 57(3):229-230 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244572 Thu, 22 Sep 2011 04:00:00 +0100 5244572 Perennial impression of an emerging arbovirus on the epidemiology of rheumatic diseases in South India: Insights from the COPCORD study http://www.medworm.com/index.php?rid=5244571&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F226%2F85219 A Rahim, AJ MathewJournal of Postgraduate Medicine 2011 57(3):226-228Are rheumatic musculoskeletal diseases (RMSD) given their due recognition by the medical fraternity and policy makers in India today? Focus on lifestyle diseases has taken away the importance of morbidity caused by musculoskeletal pain, which is one of the commonest ailments in the community. Poor awareness in general regarding the upcoming field of rheumatology and lack of proper data regarding these diseases in the country are the primary causes for this debacle. The epidemiology of RMSD in the country is fast changing, especially in the wake of viral epidemics, which leave their mark for months and years together. This view point emphasizes the burden of RMSD by highlighting the findings of two Community Oriente... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244571 Thu, 22 Sep 2011 04:00:00 +0100 5244571 Uncommon manifestation of organophosphorus poisoning http://www.medworm.com/index.php?rid=5244570&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F224%2F85218 R Lohiya, S SangleJournal of Postgraduate Medicine 2011 57(3):224-225 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244570 Thu, 22 Sep 2011 04:00:00 +0100 5244570 Face to face: Misplaced intrauterine device and abdominal ectopic pregnancy http://www.medworm.com/index.php?rid=5244569&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F223%2F85217 SV ParulekarJournal of Postgraduate Medicine 2011 57(3):223-224 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244569 Thu, 22 Sep 2011 04:00:00 +0100 5244569 An unusual oral mass http://www.medworm.com/index.php?rid=5244568&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F222%2F85215 PA Sathe, RK Ghodke, BM KandalkarJournal of Postgraduate Medicine 2011 57(3):222-223 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244568 Thu, 22 Sep 2011 04:00:00 +0100 5244568 Ginkgo biloba: An ancient tree with new arrhythmic side effects http://www.medworm.com/index.php?rid=5244567&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F221%2F85214 V Russo, A Rago, GM Russo, R Calabrò, G NigroJournal of Postgraduate Medicine 2011 57(3):221-221 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244567 Thu, 22 Sep 2011 04:00:00 +0100 5244567 Severe intestinal pseudo-obstruction following withdrawal from over-the-counter steroid abuse http://www.medworm.com/index.php?rid=5244566&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F218%2F85212 We report a case of a 59-year-old man who presented with diverticular bleeding and developed prolonged ileus postoperatively. After observing arthritic joints on examination, further questioning revealed long-term, high-dose steroid use for analgesic effect. Failure to produce an effective cortisol response was due to adrenal suppression from continuous steroid use. Immediate improvement of his ileus was seen after steroid replacement. Unreported self-medication is a frequent problem encountered in developing countries. RAI can be easily missed and requires a high index of suspicion in any patient who fails to respond to conventional treatment or with long-term steroid use. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244566 Thu, 22 Sep 2011 04:00:00 +0100 5244566 A rare diagnosis of multiple hemorrhagic metastases in brain http://www.medworm.com/index.php?rid=5244565&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F214%2F85210 A Kumar, CE Deopujari, VS KarmarkarJournal of Postgraduate Medicine 2011 57(3):214-217A 30-year-old female presented with an episode of generalized tonic-clonic convulsions. The imaging revealed multiple hemorrhagic lesions in the brain. There was no significant past history except for a cardiac surgery two years ago, for a benign atrial myxoma. The diagnosis of probable metastases was thought of and a thorough workup was planned, to determine the primary. Surprisingly, no primary lesion was detected, and therefore, as a histological diagnosis was required, she underwent navigation-guided excisional biopsy of one of the lesions. The histopathology proved that it was a myxomatous lesion. Thus, a rare diagnosis of atrial myxoma presenting as hemorrhagic metastases of the brain was formed. At... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244565 Thu, 22 Sep 2011 04:00:00 +0100 5244565 Unusual case of isolated biventricular non-compaction presenting with stroke http://www.medworm.com/index.php?rid=5244564&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F211%2F85209 We report a case of a 38-year-old male with IVNC involving both the ventricles, who presented very unusually as stroke resulting from a cardiogenic embolus. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244564 Thu, 22 Sep 2011 04:00:00 +0100 5244564 A study of drug-drug interactions in cancer patients of a south Indian tertiary care teaching hospital http://www.medworm.com/index.php?rid=5244563&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F206%2F85207 Conclusion : Though there was not any life threatening interactions, the potential interactions were brought to the oncologist purview for ensuring patients safety and to avoid undesirable effects. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244563 Thu, 22 Sep 2011 04:00:00 +0100 5244563 Polymorphisms of the gamma crystallin A and B genes among Indian patients with pediatric cataract http://www.medworm.com/index.php?rid=5244562&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F201%2F85205 Conclusion : rs2289917 risk allele showed a strong association with increased vulnerability for pediatric cataract. The findings suggest that this association may be a secondary phenomenon related to genetic variation playing critical role in lens development during perinatal and/or pediatric growth. Present exploratory study provides a basis for further defining the role of PR as a regulator of CRYG locus in lens formation/transparency. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244562 Thu, 22 Sep 2011 04:00:00 +0100 5244562 Knowledge, attitude and practice of pediatric critical care nurses towards pain: Survey in a developing country setting http://www.medworm.com/index.php?rid=5244561&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F196%2F85203 Conclusions : There are several lacunae in the knowledge and practice of nurses in developing countries which need to be improved by training. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244561 Thu, 22 Sep 2011 04:00:00 +0100 5244561 Frequency and nature of adverse drug reactions in elderly in-patients of two Indian medical college hospitals http://www.medworm.com/index.php?rid=5244560&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F189%2F85201 Conclusion : One third of hospitalized elderly experienced ADRs. Interventions focused at preventable ADRs should be developed and implemented to reduce their implications. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244560 Thu, 22 Sep 2011 04:00:00 +0100 5244560 Relationship of body fat with insulin resistance and cardiometabolic risk factors among normal glucose-tolerant subjects http://www.medworm.com/index.php?rid=5244559&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F184%2F85200 Conclusions : A significant association exists between body fat, MS, and cardiometabolic risk factors even among subjects with NGT. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244559 Thu, 22 Sep 2011 04:00:00 +0100 5244559 Resistance pattern in drug-resistant pulmonary tuberculosis http://www.medworm.com/index.php?rid=5244558&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F3%2F181%2F85197 Conclusion : In the present study the most common pattern observed is MDR with predominant resistance to INH. There is a rise in the number of drug resistant tuberculosis cases, especially MDR. Hence close monitoring of drug resistant pattern is required to formulate designs of different regimens in the treatment of drug resistant tuberculosis; especially MDR-TB based on accredited laboratory reports, in a specialized center which is very much essential for the betterment of the patients and the community. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=5244558 Thu, 22 Sep 2011 04:00:00 +0100 5244558 Moderate cytopenias in asymptomatic individuals: Is screening for autoimmune connective tissue diseases warranted? http://www.medworm.com/index.php?rid=4900107&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F178%2F81864 CA Dasanu, C DoJournal of Postgraduate Medicine 2011 57(2):178-179 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900107 Fri, 03 Jun 2011 23:00:00 +0100 4900107 Continuing medical education http://www.medworm.com/index.php?rid=4900106&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F177%2F81862 SV ParulekarJournal of Postgraduate Medicine 2011 57(2):177-178 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900106 Fri, 03 Jun 2011 23:00:00 +0100 4900106 Negative studies published in medical journals of India do not give sufficient information regarding power/sample size calculation and confidence interval http://www.medworm.com/index.php?rid=4900105&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F176%2F81861 Jaykaran , D Saxena, P Yadav, ND KanthariaJournal of Postgraduate Medicine 2011 57(2):176-177 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900105 Fri, 03 Jun 2011 23:00:00 +0100 4900105 Obstructive sleep apnea: Not just a sleep disorder http://www.medworm.com/index.php?rid=4900104&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F168%2F81866 N RajagopalanJournal of Postgraduate Medicine 2011 57(2):168-175Obstructive sleep apnea (OSA) has long been recognized as a disorder characterized by snoring and frequent cessations of breathing resulting in fragmentation of sleep, which eventually leads to cumulative sleep debt in affected patients. Until two decades ago, snoring and apneas drew attention mainly as a social curiosity and sleep apnea was not thought of as a serious disorder with multisystem involvement. Impairment of quality of work and high incidence of motor vehicle accidents associated with OSA were recognized toward the end of the last century. Since the turn of this millennium physicians have become increasingly aware of the various cardiovascular complications, metabolic disturbances, and neuropsychologic deficits. I... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900104 Fri, 03 Jun 2011 23:00:00 +0100 4900104 Management of nonvariceal upper gastrointestinal bleeding http://www.medworm.com/index.php?rid=4900103&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F161%2F81868 E WeeJournal of Postgraduate Medicine 2011 57(2):161-167Nonvariceal upper gastrointestinal bleeding is unique from variceal bleeding in terms of patient characteristics, management, rebleeding rates, and prognosis, and should be managed differently. The majority of nonvariceal upper gastrointestinal bleeds will not rebleed once treated successfully. The incidence is 80 to 90% of all upper gastrointestinal bleeds and the mortality is between 5 to 10%. The causes include nonacid-related ulceration from tumors, infections, inflammatory disease, Mallory-Weiss tears, erosions, esophagitis, dieulafoy lesions, angiodysplasias, gastric antral vascular ectasia, and portal hypertensive gastropathy. Rarer causes include hemobilia, hemosuccus pancreaticus, and aortoenteric fistulas. Hema... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900103 Fri, 03 Jun 2011 23:00:00 +0100 4900103 Drug repositioning: Re-investigating existing drugs for new therapeutic indications http://www.medworm.com/index.php?rid=4900102&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F153%2F81870 BM Padhy, YK GuptaJournal of Postgraduate Medicine 2011 57(2):153-160Drug discovery and development is an expensive, time-consuming, and risky enterprise. In order to accelerate the drug development process with reduced risk of failure and relatively lower costs, pharmaceutical companies have adopted drug repositioning as an alternative. This strategy involves exploration of drugs that have already been approved for treatment of other diseases and/or whose targets have already been discovered. Various techniques including data mining, bioinformatics, and usage of novel screening platforms have been used for identification and screening of potential repositioning candidates. However, challenges in clinical trials and intellectual property issues may be encountered during the repositioning p... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900102 Fri, 03 Jun 2011 23:00:00 +0100 4900102 An unusual recurrence of antitubercular drug induced hepatotoxicity in a child http://www.medworm.com/index.php?rid=4900101&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F147%2F81874 S Bhatia, MS Tullu, S Kannan, NJ Gogtay, UM Thatte, KR LahiriJournal of Postgraduate Medicine 2011 57(2):147-152 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900101 Fri, 03 Jun 2011 23:00:00 +0100 4900101 Adult purpura fulminans associated with non-steroidal anti-inflammatory drug use http://www.medworm.com/index.php?rid=4900100&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F145%2F81876 N Kosaraju, V Korrapati, A Thomas, BR JamesJournal of Postgraduate Medicine 2011 57(2):145-146Purpura fulminans is an acute illness characterized by rapidly progressive dermal vascular thrombosis, leading to hemorrhagic necrosis of the skin. Here, we describe the case of a healthy woman who developed acute disseminated intravascular coagulation (DIC) with purpura fulminans after intramuscular administration of a single dose of ketorolac. Review of literature showed only one case description of non-steroidal anti-inflammatory drug (diclofenac)-related purpura fulminans with DIC. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900100 Fri, 03 Jun 2011 23:00:00 +0100 4900100 Unusual clinical presentation of tuberculoma http://www.medworm.com/index.php?rid=4900099&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F143%2F81878 R Verma, P SharmaJournal of Postgraduate Medicine 2011 57(2):143-144 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900099 Fri, 03 Jun 2011 23:00:00 +0100 4900099 EMO syndrome http://www.medworm.com/index.php?rid=4900098&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F141%2F81881 KVS Hari Kumar, YS Bisht, P PrustyJournal of Postgraduate Medicine 2011 57(2):141-142 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900098 Fri, 03 Jun 2011 23:00:00 +0100 4900098 Fresh look at the doppler changes in pregnancies with placental-based complications http://www.medworm.com/index.php?rid=4900097&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F138%2F81880 This article takes a look at these changes and also the effect of these adaptations. It is suggested that serial comparisons of the venous flow characteristics of the DV and inferior vena cava (IVC) can provide an early indication of the impending decompensation and can be used to predict the time the delivery. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900097 Fri, 03 Jun 2011 23:00:00 +0100 4900097 Acute pulmonary thromboembolism in a patient with primary pulmonary hypertension: A diagnostic challenge http://www.medworm.com/index.php?rid=4900096&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F136%2F81879 BB Abdullah, S Shetty, P Khan, M ParkarJournal of Postgraduate Medicine 2011 57(2):136-137 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900096 Fri, 03 Jun 2011 23:00:00 +0100 4900096 Cecal endometriosis as an unusual cause of right iliac fossa pain http://www.medworm.com/index.php?rid=4900095&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F135%2F81877 O Baraket, R Zribi, A Berriche, A ChokkiJournal of Postgraduate Medicine 2011 57(2):135-136 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900095 Fri, 03 Jun 2011 23:00:00 +0100 4900095 Endotipsitis: A diagnostic challenge http://www.medworm.com/index.php?rid=4900094&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F134%2F81875 S Aggarwal, J ParkJournal of Postgraduate Medicine 2011 57(2):134-134 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900094 Fri, 03 Jun 2011 23:00:00 +0100 4900094 Autoimmune lymphoproliferative disorder in an adult patient http://www.medworm.com/index.php?rid=4900093&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F131%2F81873 NK Desai, S Morkhandikar, S Bajpai, AR PazareJournal of Postgraduate Medicine 2011 57(2):131-133A 50-year-old male patient presented with fever, epistaxis and multiple lymphadenopathy since 15 days. In the light of the above presentation a complete workup was initiated to exclude common conditions like tuberculosis, acquired immunodeficiency syndrome, lymphoid malignancy and sarcoidosis. After excluding common conditions a biopsy of cervical lymph node demonstrated reactive lymphadenitis with paracortical hyperplasia. Immunohistochemistry demonstrated double negative lymphocytes (CD4-, CD8-). A diagnosis of autoimmune lymphoproliferative disorder syndrome (ALPS) (probable) was made and patient was started on 1 mg/kg of steroids. Patient showed a dramatic improvement with respect to general... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900093 Fri, 03 Jun 2011 23:00:00 +0100 4900093 An unusual cause for sicca syndrome http://www.medworm.com/index.php?rid=4900092&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F129%2F81872 We present a case of a 47-year-old female who presented with sicca symptoms since three months. As per the Revised International Classification Criteria for Sjögren's syndrome, patient was diagnosed as primary Sjögren's syndrome (SS). Patients with SS are known to have circulating monoclonal immunoglobulins. Serum electrophoresis revealed M band with serum gamma globulin concentration of 46 g/L. Bone marrow aspiration revealed 28% plasma cells. In absence of myeloma-related organ damage, a diagnosis of smouldering myeloma (MM) was made. Patient was treated with thalidomide and dexamethasone. Sicca symptoms resolved with anti-myeloma treatment. Although MM can occur as a complication of SS, MM can also rarely present as SS. In the present case, t... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900092 Fri, 03 Jun 2011 23:00:00 +0100 4900092 Unilateral common peroneal nerve palsy following renal transplantation: A case report of tacrolimus neurotoxicity http://www.medworm.com/index.php?rid=4900091&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F126%2F81871 We report a case of isolated CPN palsy presenting as unilateral foot drop following renal transplantation and that improved only after replacing TAC with cyclosporine. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900091 Fri, 03 Jun 2011 23:00:00 +0100 4900091 Utility of ventricular access in an acute deterioration after endoscopic third ventriculostomy http://www.medworm.com/index.php?rid=4900090&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F123%2F81869 We report a case of a 7-year-old girl with hydrocephalus due to tectal glioma who deteriorated after 7 months following a successful procedure. She developed a cardio-respiratory arrest and was resuscitated with aspiration of cerebrospinal fluid from the ommaya reservoir kept during the primary surgery. Keeping all the patients under strict surveillance for stoma patency is mandatory and in addition, ommaya reservoir in certain high-risk patients may be a useful option for achieving quick ventricular access by medical and nonmedical personnel in case of deterioration. This case is the first reported case of acute deterioration after ETV from India. Previously, 14 such cases have been reported worldwide and only 2 of them have survived. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900090 Fri, 03 Jun 2011 23:00:00 +0100 4900090 Surgery in Hashimoto's thyroiditis: Indications, complications, and associated cancers http://www.medworm.com/index.php?rid=4900089&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F120%2F81867 Conclusions : Large, euthyroid and apparently asymptomatic HT occasionally need surgical intervention. Discomfort in swallowing and tightness in the neck are relieved after surgery. Thyroidectomy is safe to perform and has a low incidence of permanent complications. There was no associated malignancy in our series of HT. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900089 Fri, 03 Jun 2011 23:00:00 +0100 4900089 Drug-induced Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and SJS-TEN overlap: A multicentric retrospective study http://www.medworm.com/index.php?rid=4900088&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F115%2F81865 Conclusion : Antimicrobial drugs are the most commonly implicated drugs and cost of managing these adverse drug reactions is higher than other serious ADRs. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900088 Fri, 03 Jun 2011 23:00:00 +0100 4900088 D-dimer assays - A help or hindrance in suspected pulmonary thromboembolism assessment? http://www.medworm.com/index.php?rid=4900087&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F109%2F81863 Conclusion : D-dimers must be used judiciously in the assessment of suspected PTE. Appropriate use of D-dimers can provide many benefits, including reductions in diagnostic imaging (and thus radiation exposure), admission rates, and length of inpatient stay. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900087 Fri, 03 Jun 2011 23:00:00 +0100 4900087 A clinical trial to assess the immunogenicity and safety of Inactivated Influenza Vaccine (Whole Virion) IP (Pandemic Influenza (H1N1) 2009 Monovalent Vaccine; VaxiFlu-S TM ) in healthy Indian adult population http://www.medworm.com/index.php?rid=4900086&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F102%2F81860 Conclusions : Pandemic Influenza (H1N1) 2009 Monovalent Vaccine produces excellent immunogenic response with a good tolerability profile in adult Indian population. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900086 Fri, 03 Jun 2011 23:00:00 +0100 4900086 Salutary effect of parathyroidectomy on neuropsychiatric symptoms in patients with primary hyperparathyroidism: Evaluation using PAS and SF-36v2 scoring systems http://www.medworm.com/index.php?rid=4900085&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F96%2F81859 Conclusions : Indian patients with advanced pHPT, after a successful parathyroidectomy, showed significant improvement in their quality of life, as evaluated by the PAS and SF-36v2 systems. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900085 Fri, 03 Jun 2011 23:00:00 +0100 4900085 A meta-analysis of low-dose aspirin for prevention of preeclampsia http://www.medworm.com/index.php?rid=4900084&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F91%2F81858 Conclusion: LDA has a small effect in the prevention of preeclampsia in women considered to be at high risk for the disease. However, it is not effective in reducing the risk in the low-risk group. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900084 Fri, 03 Jun 2011 23:00:00 +0100 4900084 Prevention of pre-eclampsia with low-dose aspirin http://www.medworm.com/index.php?rid=4900083&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F2%2F89%2F81857 E BujoldJournal of Postgraduate Medicine 2011 57(2):89-90 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4900083 Fri, 03 Jun 2011 23:00:00 +0100 4900083 Authors' reply http://www.medworm.com/index.php?rid=4417857&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F84%2F75356 VS Natu, SB Kamerkar, K Geeta, K Vidya, V Natu, S Sane, R Kushte, S Thatte, DA Uchil, NN Rege, RD BapatJournal of Postgraduate Medicine 2011 57(1):84-85 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417857 Mon, 31 Jan 2011 00:00:00 +0100 4417857 Efficacy of anti-scorpion venom serum over prazosin in severe scorpion envenomation: Is the current evidence enough? http://www.medworm.com/index.php?rid=4417856&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F83%2F75353 AB Thirunavukkarasu, V ChandrasekaranJournal of Postgraduate Medicine 2011 57(1):83-84 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417856 Mon, 31 Jan 2011 00:00:00 +0100 4417856 Reporting of the methodological quality and ethical aspects in clinical trials published in Indian journals: A survey http://www.medworm.com/index.php?rid=4417855&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F82%2F74300 Jaykaran , ND Kantharia, P Yadav, S DeoghareJournal of Postgraduate Medicine 2011 57(1):82-83 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417855 Mon, 31 Jan 2011 00:00:00 +0100 4417855 Pneumococcal infections and immunization in diabetic patients http://www.medworm.com/index.php?rid=4417854&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F78%2F74299 This article tries to provide a balanced review of the place of pneumococcal vaccination in Indian diabetic patients. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417854 Mon, 31 Jan 2011 00:00:00 +0100 4417854 Glutathione as an antioxidant in inorganic mercury induced nephrotoxicity http://www.medworm.com/index.php?rid=4417853&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F72%2F74298 AT Jan, A Ali, QMR HaqJournal of Postgraduate Medicine 2011 57(1):72-77Heavy metal toxicity represents an uncommon but clinically significant medical condition, which if unrecognized or inappropriately treated results in significant morbidity and mortality. Among heavy metals, mercury is recognized as a potent and widely distributed toxicant having the ability to accumulate at various levels of food chain besides possessing ability to cross placental and blood-brain barrier. Symptom picture of mercury (Hg 2+ ) toxicity is characterized mainly by a series of renal disorders. Mechanism of inorganic mercury toxicity includes production of reactive oxygen species (ROS) capable of damaging lipids in membrane, proteins or enzymes in tissues, and DNA to induce oxidative stress as balance b... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417853 Mon, 31 Jan 2011 00:00:00 +0100 4417853 Clinical uses of the medicinal leech: A practical review http://www.medworm.com/index.php?rid=4417852&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F65%2F74297 BS Porshinsky, S Saha, MD Grossman, PR Beery II, SPA StawickiJournal of Postgraduate Medicine 2011 57(1):65-71The medicinal leech, Hirudo medicinalis, is an excellent example of the use of invertebrates in the treatment of human disease. Utilized for various medical indications since the ancient times, the medicinal leech is currently being used in a narrow range of well-defined and scientifically-grounded clinical applications. Hirudotherapy is most commonly used in the setting of venous congestion associated with soft tissue replantations and free flap-based reconstructive surgery. This is a comprehensive review of current clinical applications of hirudotherapy, featuring a comprehensive search of all major medical search engines (i.e. PubMed, Google Scholar, ScientificCommons) and other... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417852 Mon, 31 Jan 2011 00:00:00 +0100 4417852 'Bull on Neck': Dissection of right common carotid artery http://www.medworm.com/index.php?rid=4417851&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F63%2F74296 V Gupta, ND Karnik, M Itolikar, P SomaniJournal of Postgraduate Medicine 2011 57(1):63-64 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417851 Mon, 31 Jan 2011 00:00:00 +0100 4417851 Amyloidosis of exocrine pancreas http://www.medworm.com/index.php?rid=4417850&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F61%2F74295 P Vaideeswar, R ChettyJournal of Postgraduate Medicine 2011 57(1):61-62 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417850 Mon, 31 Jan 2011 00:00:00 +0100 4417850 Idiopathic pulmonary hemosiderosis: Alveoli are an answer to anemia http://www.medworm.com/index.php?rid=4417849&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F57%2F74290 S Bhatia, MS Tullu, P Vaideeswar, KR LahiriJournal of Postgraduate Medicine 2011 57(1):57-60Idiopathic pulmonary hemosiderosis (IPH) is a rare disorder (triad of iron-deficiency anemia, hemoptysis, and alveolar infiltrates). A 3-year-old male presented with mild fever, breathlessness, dry cough, and bluish nail discoloration for 8 days. He had required five blood transfusions in the past 1 year (last transfusion was given 4 months ago). He had a respiratory rate of 58/min with respiratory distress, cyanosis, and grade III clubbing. Respiratory system examination was normal. Several previous reports of hemoglobin were as low as 3.6 g/dl with hypochromic and microcytic anemia. There were transient increases in the hemoglobin and normalization of red cell morphology with blood transfusions. S... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417849 Mon, 31 Jan 2011 00:00:00 +0100 4417849 An unusual case of chronic lymphocytic leukemia following primary breast carcinoma on chemotherapy http://www.medworm.com/index.php?rid=4417848&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F55%2F74294 H Chandra, S Chandra, SK Verma, VP PathakJournal of Postgraduate Medicine 2011 57(1):55-56 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417848 Mon, 31 Jan 2011 00:00:00 +0100 4417848 Incidental detection of upper extremity deep venous thrombosis on a Technetium-99m pertechnetate thyroid scan http://www.medworm.com/index.php?rid=4417847&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F53%2F74293 F Sen, U Ogur, AT Akpinar, S OrcanJournal of Postgraduate Medicine 2011 57(1):53-55 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417847 Mon, 31 Jan 2011 00:00:00 +0100 4417847 FDG positron emission tomography/computed tomography in the detection of aortic endograft infection http://www.medworm.com/index.php?rid=4417846&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F52%2F74292 SG Dua, NC Purandare, S Shah, V RangarajanJournal of Postgraduate Medicine 2011 57(1):52-53 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417846 Mon, 31 Jan 2011 00:00:00 +0100 4417846 Calcific uremic arteriolopathy while on cinacalcet http://www.medworm.com/index.php?rid=4417845&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F51%2F74291 E Gonzalez-Parra, C Martín-Cleary, J Martin, A OrtizJournal of Postgraduate Medicine 2011 57(1):51-52 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417845 Mon, 31 Jan 2011 00:00:00 +0100 4417845 Hirayama's disease: The importance of flexion magnetic resonance imaging http://www.medworm.com/index.php?rid=4417844&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F48%2F74289 We report the classical MRI findings in a young patient with Hirayama's disease with neutral and flexion MRI. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417844 Mon, 31 Jan 2011 00:00:00 +0100 4417844 Kissing anterior communicating artery aneurysms: Diagnostic dilemma and management issues http://www.medworm.com/index.php?rid=4417843&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F44%2F74288 SS Baldawa, G Menon, S NairJournal of Postgraduate Medicine 2011 57(1):44-47Kissing aneurysms are unusual and relatively rare types of multiple intracranial arterial aneurysms. When located on the anterior communicating artery (ACoA), kissing aneurysms pose considerable diagnostic difficulty on preoperative conventional angiogram. Special angiographic views or 3D rotational angiogram are needed to make the correct diagnosis and to avoid interpreting them as multilobed or bilobed saccular aneurysms on preoperative conventional angiogram. Treatment of these aneurysms, either by clipping or coiling, needs to be individualized. Unique problems which need to be addressed during surgical clipping are high risk of rupture due to dense adhesions between the kissing aneurysms, requirement of at lea... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417843 Mon, 31 Jan 2011 00:00:00 +0100 4417843 Pneumatosis intestinalis and mesenteric venous gas - A manifestation of bacterascites in a patient with cirrhosis http://www.medworm.com/index.php?rid=4417842&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F42%2F74287 RK Yellapu, H Rajekar, JD Martin, TD SchianoJournal of Postgraduate Medicine 2011 57(1):42-43We herein report a patient with decompensated cirrhosis secondary to autoimmune hepatitis, who presented with pneumatosis intestinalis (PI) and portal venous gas. Mesenteric ischemia has been recognized as a common and life-threatening cause of PI which portends a grave prognosis. The patient was found to have bacterascites and recovered after appropriate antibiotic therapy. Spontaneous bacterial peritonitis/bacterascites with gas-forming organisms manifesting as PI has not been previously reported. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417842 Mon, 31 Jan 2011 00:00:00 +0100 4417842 Isolated left innominate vein aneurysm: A rare cause of mediastinal widening http://www.medworm.com/index.php?rid=4417841&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F40%2F74286 We describe detection of a saccular aneurysm of the innominate vein, as the underlying cause of mediastinal widening seen on a chest radiograph in a 42-year-old asymptomatic woman. The characteristic radiological findings of thoracic venous aneurysms are described with particular reference to the importance of multiplanar computed tomography in such settings. Also discussed is the role of imaging in the diagnosis and guiding the management of this rare entity. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417841 Mon, 31 Jan 2011 00:00:00 +0100 4417841 A cross-sectional evaluation of computer literacy among medical students at a tertiary care teaching hospital in Mumbai (Bombay) http://www.medworm.com/index.php?rid=4417840&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F31%2F75352 Conclusion: The weak correlation between AS and CUS for all students could be explained by the lack of computer resources or inadequate training to use computers for learning. Providing additional resources would benefit the subset of outstation students with lesser computer resources. This weak correlation between the attitudes and practices of all students needs to be investigated. We believe that this gap can be bridged with a structured computer learning program. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417840 Mon, 31 Jan 2011 00:00:00 +0100 4417840 Impact of parenting practices on parent-child relationships in children with specific learning disability http://www.medworm.com/index.php?rid=4417839&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F20%2F75344 Conclusions: The present study has identified parenting practices that need to be encouraged or excluded for improving parent-child relationships. Initiating these measures would 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=4417839 Mon, 31 Jan 2011 00:00:00 +0100 4417839 The obstetric outcome following treatment in a cohort of patients with antiphospholipid antibody syndrome in a tertiary care center http://www.medworm.com/index.php?rid=4417838&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F16%2F74285 Conclusion: Treatment of pregnant women with APAS results in marked improvement in the live birth rate (4.6-85.7%). However, complications like preeclampsia and IUGR occur even after treatment, requiring strict monitoring and timely delivery. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417838 Mon, 31 Jan 2011 00:00:00 +0100 4417838 High prevalence of tobacco use, alcohol use and overweight in a rural population in Tamil Nadu, India http://www.medworm.com/index.php?rid=4417837&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F9%2F74284 Conclusion: We observed high prevalence of tobacco use, alcohol use and central obesity in the rural population in Tamil Nadu. There is need for health promotion programs to encourage adoption of healthy lifestyle and policy interventions to create enabling environment. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417837 Mon, 31 Jan 2011 00:00:00 +0100 4417837 Study of impaired glucose tolerance, dyslipidemia, metabolic syndrome, and cardiovascular risk in a south Indian population http://www.medworm.com/index.php?rid=4417836&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F4%2F74283 Conclusions: The condition of being overweight, expressed as BMI, appears to be a good indicator of risk for IGT, MS, and CVR, particularly in young non-obese subjects (BMI<30). (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417836 Mon, 31 Jan 2011 00:00:00 +0100 4417836 Good news for women with antiphospholipid syndrome? http://www.medworm.com/index.php?rid=4417835&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F3%2F76350 F SerranoJournal of Postgraduate Medicine 2011 57(1):3-3 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417835 Mon, 31 Jan 2011 00:00:00 +0100 4417835 Chronic disease burden in rural India attributable to diet, obesity, and tobacco use http://www.medworm.com/index.php?rid=4417834&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2011%2F57%2F1%2F1%2F76349 PN SinghJournal of Postgraduate Medicine 2011 57(1):1-2 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4417834 Mon, 31 Jan 2011 00:00:00 +0100 4417834 Hemophagocytosis in scrub typhus http://www.medworm.com/index.php?rid=4039268&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D301%3Bepage%3D302%3Baulast%3DValsalan R Valsalan, K Kosaraju, T Sohanlal, PS Prem KumarJournal of Postgraduate Medicine 2010 56(4):301-302 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039268 Thu, 07 Oct 2010 19:54:31 +0100 4039268 Evaluation of clinical skills for first-year surgical residents using orientation programme and objective structured clinical evaluation as a tool of assessment http://www.medworm.com/index.php?rid=4039267&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D297%3Bepage%3D300%3Baulast%3DPandya Conclusions: This study highlighted the lacunae in current internship training, especially for skill-based tasks. There is a need for universal inclusion of structured orientation programmes in the training of first-year residents. OSCE is a reliable, valid and effective method for the assessment of clinical skills. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039267 Thu, 07 Oct 2010 19:54:31 +0100 4039267 Fatal hemoptysis in a child with ataxia-telangiectasia: Zeroing down on the rare cause http://www.medworm.com/index.php?rid=4039266&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D293%3Bepage%3D296%3Baulast%3DGabhale Y Gabhale, P Vaideeswar, SB BavdekarJournal of Postgraduate Medicine 2010 56(4):293-296 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039266 Thu, 07 Oct 2010 19:54:31 +0100 4039266 Identification of a novel mutation in an Indian patient with CAII deficiency syndrome http://www.medworm.com/index.php?rid=4039265&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D290%3Bepage%3D292%3Baulast%3DShivaprasad We present here, the clinical and radiographic details along with, results of mutational analysis of the CA2 gene in an individual clinically diagnosed with renal tubular acidosis, osteopetrosis and mental retardation and his family members to establish genotype-phenotype correlation. A novel homozygous deletion mutation c.251delT was seen in the patient resulting in a frameshift and a premature stop codon at amino acid position 90 generating a truncated protein leading to a complete loss of function and a consequential deficiency of the enzyme making this a pathogenic mutation. Confirmation of clinical diagnosis by molecular methods is essential as the clinical features of the CAII deficiency syndrome are similar to other forms of OP but the treatment modalities are different. Genetic con... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039265 Thu, 07 Oct 2010 19:54:31 +0100 4039265 Recurrent cholangitis in the tropics: Worm or cast? http://www.medworm.com/index.php?rid=4039264&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D287%3Bepage%3D289%3Baulast%3DJain PA Jain, VV Gandhi, P Desai, NH DoctorJournal of Postgraduate Medicine 2010 56(4):287-289The development of biliary casts is very rare, especially in non-liver transplant patients. The etiology of these casts is uncertain but several factors have been proposed which lead to bile stasis and/or gallbladder hypo-contractility and promote cast formation. Here, we report a 54-year-old male, with diabetes and ischemic heart disease, who presented with recurrent attacks of cholangitis. Magnetic resonance cholangiopancreatography revealed linear T1 hyperintense and T2 hypointense filling defects in the right and left hepatic ducts extending into the common hepatic duct, and a calculus in the lower common bile duct, raising a suspicion of worm in the biliary tree. In view of failed attempts at extr... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039264 Thu, 07 Oct 2010 19:54:31 +0100 4039264 Endoscopic occlusion of idiopathic benign esophago-bronchial fistula http://www.medworm.com/index.php?rid=4039263&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D284%3Bepage%3D286%3Baulast%3DYellapu We report a 35-year-old male with recurrent respiratory infections and cough associated with ingestion of food for 15 years. He was diagnosed to have benign esophago-bronchial fistula and proximal jejunal stricture secondary to a tumor, which was surgically resected. In view of recent surgery, endoscopic closure of the fistula was attempted initially with an endoclip resulting in partial symptomatic relief. The fistula was later completely occluded endoscopically with cyanoacrylate glue. A barium swallow at eight-months follow-up revealed no evidence of esophago-bronchial communication. A high index of suspicion is required in the diagnosis of this rare entity in adults with recurrent respiratory infections of obscure etiology. Surgical resection is the standard treatment. Here we report a... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039263 Thu, 07 Oct 2010 19:54:31 +0100 4039263 Pituitary adenoma and vestibular schwannoma: Case report and review of the literature http://www.medworm.com/index.php?rid=4039262&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D281%3Bepage%3D283%3Baulast%3DNiu Y Niu, L Ma, Q Mao, L Wu, J ChenJournal of Postgraduate Medicine 2010 56(4):281-283The concurrence of the intracranial multiple primary tumors (MPTs) consisting of acoustic neuroma (AN) and pituitary adenoma is very rare. Here, we report a 42-year-old female who presented with left AN associated with pituitary adenoma. A total of three such cases have been reported before and which also presented with left AN with pituitary adenoma. Recently, a new "field cancerization" model has been proposed, which could explain MPTs and is consistent with the pathogenesis of such cases. The model also indicates that when a pituitary tumor or AN is detected separately, we might consider the development of "expanding field" after oncological treatment especi... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039262 Thu, 07 Oct 2010 19:54:31 +0100 4039262 Efficacy of anti-scorpion venom serum over prazosin in the management of severe scorpion envenomation http://www.medworm.com/index.php?rid=4039261&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D275%3Bepage%3D280%3Baulast%3DNatu Conclusions : Intravenous slow bolus of AScVS given based on the clinical severity of envenomation leads to early recovery than prazosin alone and is well tolerated. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039261 Thu, 07 Oct 2010 19:54:31 +0100 4039261 A randomized, open labeled, comparative study to assess the efficacy and safety of controller medications as add on to inhaled corticosteroid and long-acting β2 agonist in the treatment of moderate-to-severe persistent asthma http://www.medworm.com/index.php?rid=4039260&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D270%3Bepage%3D274%3Baulast%3DPatel Conclusions : All add on controller medications helped, with a significant improvement of lung functions and asthma symptoms. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039260 Thu, 07 Oct 2010 19:54:31 +0100 4039260 MTHFR A1298C polymorphism and idiopathic male infertility http://www.medworm.com/index.php?rid=4039259&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D267%3Bepage%3D269%3Baulast%3DSingh Conclusion : The MTHFR 1298CC genotype is an additional genetic risk factor for idiopathic male infertility in an Indian population. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039259 Thu, 07 Oct 2010 19:54:31 +0100 4039259 p53, carcinoembryonic antigen and carbohydrate antigen 19.9 expression in gall bladder cancer, precursor epithelial lesions and xanthogranulomatous cholecystitis http://www.medworm.com/index.php?rid=4039258&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D262%3Bepage%3D266%3Baulast%3DAgrawal Conclusions : Altered CEA expression is seen in GBC as compared to normal and inflammatory gallbladders. Loss of expression of CA19.9 in antral metaplasia and poorly differentiated GBC may indicate that it is a marker of biliary differentiation. p53 over-expression seen in GBC and in dysplasia associated with malignancy and with CC suggests that p53 mutation and dysplasia are early events in the evolution of GBC. Epithelial metaplasia and XG inflammation are often associated with GBC but do not appear to play a role in its pathogenesis through the p53 pathway. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039258 Thu, 07 Oct 2010 19:54:31 +0100 4039258 Decontamination of laryngoscope blades: Is our practice adequate? http://www.medworm.com/index.php?rid=4039257&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D257%3Bepage%3D261%3Baulast%3DTelang Conclusion : Cleaning of laryngoscope blades with tap-water is a commonly used but inadequate method for decontamination. Washing with tap-water followed by disinfection with 5% v/v aldehyde-free biguanide for at least 10 min is an effective and inexpensive alternative. National guidelines for the decontamination of anesthesia equipment are necessary. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039257 Thu, 07 Oct 2010 19:54:31 +0100 4039257 Solitary demyelinating plaques mimicking brain tumors: A tricky similarity http://www.medworm.com/index.php?rid=4039256&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D254%3Bepage%3D256%3Baulast%3DBacigaluppi S Bacigaluppi, M Bacigaluppi, G TrediciJournal of Postgraduate Medicine 2010 56(4):254-256 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039256 Thu, 07 Oct 2010 19:54:31 +0100 4039256 Antiscorpion venom scores over other strategies in the treatment of scorpion envenomation http://www.medworm.com/index.php?rid=4039255&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D253%3Bepage%3D254%3Baulast%3DDeshpande SB DeshpandeJournal of Postgraduate Medicine 2010 56(4):253-254 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039255 Thu, 07 Oct 2010 19:54:31 +0100 4039255 New Delhi metallo beta-lactamase: What is in a name? http://www.medworm.com/index.php?rid=4039254&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D4%3Bspage%3D251%3Bepage%3D252%3Baulast%3DNataraj G NatarajJournal of Postgraduate Medicine 2010 56(4):251-252 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4039254 Thu, 07 Oct 2010 19:54:31 +0100 4039254 Phase 1 clinical trial: Growing role of anesthetists in India http://www.medworm.com/index.php?rid=4094411&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F333%2F70934 SM Ghosh, RK GhoshJournal of Postgraduate Medicine 2010 56(4):333-335 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094411 Wed, 06 Oct 2010 23:00:00 +0100 4094411 Conduct of postgraduate medical entrance examinations: Amendments needed http://www.medworm.com/index.php?rid=4094410&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F332%2F70932 A BhanJournal of Postgraduate Medicine 2010 56(4):332-333 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094410 Wed, 06 Oct 2010 23:00:00 +0100 4094410 Authors' Reply http://www.medworm.com/index.php?rid=4094409&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F332%2F70931 D Karangelis, G Tagarakis, A Drakos, A GiaglarasJournal of Postgraduate Medicine 2010 56(4):332-332 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094409 Wed, 06 Oct 2010 23:00:00 +0100 4094409 Comments on the Meckelostomy procedure http://www.medworm.com/index.php?rid=4094408&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F332%2F70929 VD YagnikJournal of Postgraduate Medicine 2010 56(4):332-332 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094408 Wed, 06 Oct 2010 23:00:00 +0100 4094408 Selective estrogen receptor modulators promising for cardiac syndrome X http://www.medworm.com/index.php?rid=4094407&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F328%2F70936 YX Chen, NS Luo, YQ Lin, WL Yuan, SL Xie, RQ Nie, JF WangJournal of Postgraduate Medicine 2010 56(4):328-331Cardiac syndrome X (CSX) is defined as a typical anginal-like chest pain with a transient ischemic electrocardiogram, but without abnormal coronary angiography. It is usually accepted that endothelial dysfunction, inflammation, oxidative stress and estrogen deficiency are the main reasons of CSX. There are some methods to treat CSX including statins, b blocker, angiotensin converting enzyme inhibitors, nitrates, estrogen, and so on. The estrogen replacement therapy (ERT), in particular, has been reported by many researchers to significantly reduce the frequency of chest pain after administration of estrogen, which has been explained as estrogen acting on its receptor to improve the e... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094407 Wed, 06 Oct 2010 23:00:00 +0100 4094407 Issues in pharmacotherapy of 2009 H1N1 influenza infection http://www.medworm.com/index.php?rid=4094406&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F321%2F70945 YK Gupta, BM PadhyJournal of Postgraduate Medicine 2010 56(4):321-327The pandemic caused by the 2009 H1N1 influenza A virus has been a cause of great concern for healthcare professionals and the scientific community worldwide. Due to the widespread resistance of the virus to adamantanes, pharmacotherapy is currently limited to neuraminidase inhibitors, oseltamivir and zanamivir. The use of neuraminidase inhibitors in India is primarily associated with issues of patient and physician awareness, variability in disease management guidelines, safety and efficacy in the Indian population, need for active drug safety monitoring, and development of resistance due to possible misuse. In addition, other issues like availability of the drugs in retail and stockpiling by the public health authorities... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094406 Wed, 06 Oct 2010 23:00:00 +0100 4094406 Preimplantation diagnosis of genetic diseases http://www.medworm.com/index.php?rid=4094405&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F317%2F70943 This article reviews the technique, indications, benefits, and limitations of pre-implantation genetic testing in clinical practice. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094405 Wed, 06 Oct 2010 23:00:00 +0100 4094405 Multiple ring-enhancing lesions of the brain http://www.medworm.com/index.php?rid=4094404&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F307%2F70939 RK Garg, MK SinhaJournal of Postgraduate Medicine 2010 56(4):307-316Multiple ring-enhancing lesions of the brain are one of the most commonly encountered abnormalities on neuroimaging. These can be caused by a variety of infectious, neoplastic, inflammatory or vascular diseases. Distinguishing non-neoplastic causes from neoplastic lesions is extremely important because a misdiagnosis can lead to unwarranted neurosurgery and exposure to toxic chemotherapy or potentially harmful brain irradiation. Diligent clinical evaluation and a battery of tests are required for making a definitive diagnosis. Newer advanced diagnostic techniques, such as diffusion-weighted magnetic resonance imaging (MRI), perfusion-weighted MRI, magnetic resonance spectroscopy, single-photon emission tomography and posit... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094404 Wed, 06 Oct 2010 23:00:00 +0100 4094404 Tardive oculogyric crisis associated with amisulpride monotherapy http://www.medworm.com/index.php?rid=4094403&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F305%2F70947 We report a case of a young woman with schizophrenia who presented with tardive OGC related to amisulpride. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094403 Wed, 06 Oct 2010 23:00:00 +0100 4094403 Mesenteric panniculitis as a first manifestation of Schönlein-Henoch disease http://www.medworm.com/index.php?rid=4094402&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F303%2F70948 N Martín-Suñé, JJ Ríos-Blanco, M Díaz-Menéndez, J Alvarez-Pellicer, A Lamarca-Lete, FJ Barbado-Hernández, JJS Vázquez RodríguezJournal of Postgraduate Medicine 2010 56(4):303-304 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094402 Wed, 06 Oct 2010 23:00:00 +0100 4094402 Hemophagocytosis in scrub typhus http://www.medworm.com/index.php?rid=4094401&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F301%2F70949 R Valsalan, K Kosaraju, T Sohanlal, PS Prem KumarJournal of Postgraduate Medicine 2010 56(4):301-302 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094401 Wed, 06 Oct 2010 23:00:00 +0100 4094401 Evaluation of clinical skills for first-year surgical residents using orientation programme and objective structured clinical evaluation as a tool of assessment http://www.medworm.com/index.php?rid=4094400&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F297%2F70950 Conclusions: This study highlighted the lacunae in current internship training, especially for skill-based tasks. There is a need for universal inclusion of structured orientation programmes in the training of first-year residents. OSCE is a reliable, valid and effective method for the assessment of clinical skills. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094400 Wed, 06 Oct 2010 23:00:00 +0100 4094400 Fatal hemoptysis in a child with ataxia-telangiectasia: Zeroing down on the rare cause http://www.medworm.com/index.php?rid=4094399&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F293%2F70946 Y Gabhale, P Vaideeswar, SB BavdekarJournal of Postgraduate Medicine 2010 56(4):293-296 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094399 Wed, 06 Oct 2010 23:00:00 +0100 4094399 Identification of a novel mutation in an Indian patient with CAII deficiency syndrome http://www.medworm.com/index.php?rid=4094398&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F290%2F70944 We present here, the clinical and radiographic details along with, results of mutational analysis of the CA2 gene in an individual clinically diagnosed with renal tubular acidosis, osteopetrosis and mental retardation and his family members to establish genotype-phenotype correlation. A novel homozygous deletion mutation c.251delT was seen in the patient resulting in a frameshift and a premature stop codon at amino acid position 90 generating a truncated protein leading to a complete loss of function and a consequential deficiency of the enzyme making this a pathogenic mutation. Confirmation of clinical diagnosis by molecular methods is essential as the clinical features of the CAII deficiency syndrome are similar to other forms of OP but the treatment modalities are different. Genetic con... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094398 Wed, 06 Oct 2010 23:00:00 +0100 4094398 Recurrent cholangitis in the tropics: Worm or cast? http://www.medworm.com/index.php?rid=4094397&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F287%2F70942 PA Jain, VV Gandhi, P Desai, NH DoctorJournal of Postgraduate Medicine 2010 56(4):287-289The development of biliary casts is very rare, especially in non-liver transplant patients. The etiology of these casts is uncertain but several factors have been proposed which lead to bile stasis and/or gallbladder hypo-contractility and promote cast formation. Here, we report a 54-year-old male, with diabetes and ischemic heart disease, who presented with recurrent attacks of cholangitis. Magnetic resonance cholangiopancreatography revealed linear T1 hyperintense and T2 hypointense filling defects in the right and left hepatic ducts extending into the common hepatic duct, and a calculus in the lower common bile duct, raising a suspicion of worm in the biliary tree. In view of failed attempts at extr... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094397 Wed, 06 Oct 2010 23:00:00 +0100 4094397 Endoscopic occlusion of idiopathic benign esophago-bronchial fistula http://www.medworm.com/index.php?rid=4094396&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F284%2F70941 We report a 35-year-old male with recurrent respiratory infections and cough associated with ingestion of food for 15 years. He was diagnosed to have benign esophago-bronchial fistula and proximal jejunal stricture secondary to a tumor, which was surgically resected. In view of recent surgery, endoscopic closure of the fistula was attempted initially with an endoclip resulting in partial symptomatic relief. The fistula was later completely occluded endoscopically with cyanoacrylate glue. A barium swallow at eight-months follow-up revealed no evidence of esophago-bronchial communication. A high index of suspicion is required in the diagnosis of this rare entity in adults with recurrent respiratory infections of obscure etiology. Surgical resection is the standard treatment. Here we report a... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094396 Wed, 06 Oct 2010 23:00:00 +0100 4094396 Pituitary adenoma and vestibular schwannoma: Case report and review of the literature http://www.medworm.com/index.php?rid=4094395&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F281%2F70940 Y Niu, L Ma, Q Mao, L Wu, J ChenJournal of Postgraduate Medicine 2010 56(4):281-283The concurrence of the intracranial multiple primary tumors (MPTs) consisting of acoustic neuroma (AN) and pituitary adenoma is very rare. Here, we report a 42-year-old female who presented with left AN associated with pituitary adenoma. A total of three such cases have been reported before and which also presented with left AN with pituitary adenoma. Recently, a new "field cancerization" model has been proposed, which could explain MPTs and is consistent with the pathogenesis of such cases. The model also indicates that when a pituitary tumor or AN is detected separately, we might consider the development of "expanding field" after oncological treatment especially after radiotherapy in o... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094395 Wed, 06 Oct 2010 23:00:00 +0100 4094395 Efficacy of anti-scorpion venom serum over prazosin in the management of severe scorpion envenomation http://www.medworm.com/index.php?rid=4094394&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F275%2F70938 Conclusions : Intravenous slow bolus of AScVS given based on the clinical severity of envenomation leads to early recovery than prazosin alone and is well tolerated. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094394 Wed, 06 Oct 2010 23:00:00 +0100 4094394 A randomized, open labeled, comparative study to assess the efficacy and safety of controller medications as add on to inhaled corticosteroid and long-acting β2 agonist in the treatment of moderate-to-severe persistent asthma http://www.medworm.com/index.php?rid=4094393&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F270%2F70937 Conclusions : All add on controller medications helped, with a significant improvement of lung functions and asthma symptoms. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094393 Wed, 06 Oct 2010 23:00:00 +0100 4094393 MTHFR A1298C polymorphism and idiopathic male infertility http://www.medworm.com/index.php?rid=4094392&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F267%2F70935 Conclusion : The MTHFR 1298CC genotype is an additional genetic risk factor for idiopathic male infertility in an Indian population. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094392 Wed, 06 Oct 2010 23:00:00 +0100 4094392 p53, carcinoembryonic antigen and carbohydrate antigen 19.9 expression in gall bladder cancer, precursor epithelial lesions and xanthogranulomatous cholecystitis http://www.medworm.com/index.php?rid=4094391&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F262%2F70933 Conclusions : Altered CEA expression is seen in GBC as compared to normal and inflammatory gallbladders. Loss of expression of CA19.9 in antral metaplasia and poorly differentiated GBC may indicate that it is a marker of biliary differentiation. p53 over-expression seen in GBC and in dysplasia associated with malignancy and with CC suggests that p53 mutation and dysplasia are early events in the evolution of GBC. Epithelial metaplasia and XG inflammation are often associated with GBC but do not appear to play a role in its pathogenesis through the p53 pathway. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094391 Wed, 06 Oct 2010 23:00:00 +0100 4094391 Decontamination of laryngoscope blades: Is our practice adequate? http://www.medworm.com/index.php?rid=4094390&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F257%2F70930 Conclusion : Cleaning of laryngoscope blades with tap-water is a commonly used but inadequate method for decontamination. Washing with tap-water followed by disinfection with 5% v/v aldehyde-free biguanide for at least 10 min is an effective and inexpensive alternative. National guidelines for the decontamination of anesthesia equipment are necessary. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094390 Wed, 06 Oct 2010 23:00:00 +0100 4094390 Solitary demyelinating plaques mimicking brain tumors: A tricky similarity http://www.medworm.com/index.php?rid=4094389&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F254%2F70928 S Bacigaluppi, M Bacigaluppi, G TrediciJournal of Postgraduate Medicine 2010 56(4):254-256 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094389 Wed, 06 Oct 2010 23:00:00 +0100 4094389 Antiscorpion venom scores over other strategies in the treatment of scorpion envenomation http://www.medworm.com/index.php?rid=4094388&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F253%2F70927 SB DeshpandeJournal of Postgraduate Medicine 2010 56(4):253-254 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094388 Wed, 06 Oct 2010 23:00:00 +0100 4094388 New Delhi metallo beta-lactamase: What is in a name? http://www.medworm.com/index.php?rid=4094387&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Ftext.asp%3F2010%2F56%2F4%2F251%2F70926 G NatarajJournal of Postgraduate Medicine 2010 56(4):251-252 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=4094387 Wed, 06 Oct 2010 23:00:00 +0100 4094387 Systemic lupus erythematosus and tuberculosis: A review of complex interactions of complicated diseases http://www.medworm.com/index.php?rid=3894455&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D244%3Bepage%3D250%3Baulast%3DPrabu VNN Prabu, S AgrawalJournal of Postgraduate Medicine 2010 56(3):244-250Infections, renal failure and cardiovascular disease account for the majority of mortality in systemic lupus erythematosus (SLE). Although most infections are caused by Gram-positive or Gram-negative bacteria, there is an increase in the incidence of Mycobacterium tuberculosis and other opportunistic infections that also account for increased mortality. The higher prevalence of tuberculous infections in SLE is attributed to multiple immune abnormalities seen in these patients. SLE and tuberculosis (TB) interact in complicated ways - they may have similar presentation and may mimic each other. In an individual patient, it becomes important to differentiate one from the other. In this review, we have highlighted the compl... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894455 Tue, 24 Aug 2010 08:25:15 +0100 3894455 A variant of PTPN22 gene conferring risk to autoimmune diseases may protect against tuberculosis http://www.medworm.com/index.php?rid=3894454&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D242%3Bepage%3D243%3Baulast%3DLopez-Escamez JA Lopez-EscamezJournal of Postgraduate Medicine 2010 56(3):242-243 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894454 Tue, 24 Aug 2010 08:25:15 +0100 3894454 PTPN22 gene polymorphisms in autoimmune diseases with special reference to systemic lupus erythematosus disease susceptibility http://www.medworm.com/index.php?rid=3894453&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D239%3Bepage%3D242%3Baulast%3DPradhan V Pradhan, V Borse, K GhoshJournal of Postgraduate Medicine 2010 56(3):239-242Systemic lupus erythematosus (SLE) is a prototype autoimmune disease. SLE is a result of one or more immune mechanisms, like autoantibody production, complement activation, multiple inflammation and immune complex deposition leading to organ tissue damage. SLE affected patients are susceptible to common and opportunistic infections. There are several reports suggesting that Mycobacterium tuberculosis infection precipitates SLE in patients from endemic areas. Genetic factors and environmental factors also play an important role in the overall susceptibility to SLE pathophysiology. Recently, protein tyrosine phosphatase, non-receptor type 22 (PTPN22) gene, has been found to be associated with several autoimmune dis... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894453 Tue, 24 Aug 2010 08:25:15 +0100 3894453 Lymphatic filariasis in India: Epidemiology and control measures http://www.medworm.com/index.php?rid=3894452&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D232%3Bepage%3D238%3Baulast%3DSabesan S Sabesan, P Vanamail, KHK Raju, P JambulingamJournal of Postgraduate Medicine 2010 56(3):232-238Lymphatic filariasis caused by Wuchereria bancrofti and Brugia malayi is an important public health problem in India. Both parasites produce essentially similar clinical presentations in man, related mainly to the pathology of the lymphatic system. Filariasis is endemic in 17 States and six Union Territories, with about 553 million people at risk of infection. The Government of India has accorded a high priority for elimination of this infection through mass chemotherapy programme (annual, single dose of Diethylcarbamazine citrate, i.e. DEC - 6 mg/kg of bodyweight, plus Albendazole repeated four to six times). This campaign has become a part of the National Vector-Borne Disease Control Programm... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894452 Tue, 24 Aug 2010 08:25:15 +0100 3894452 Esomeprazole-induced photoallergic dermatitis http://www.medworm.com/index.php?rid=3894451&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D229%3Bepage%3D231%3Baulast%3DShukla We report here a 58-year-old lady with prior history of propylthiouracil and carbimazole-induced photoallergy, who presented with heartburn and dysphagia. She was diagnosed to have erosive esophagitis and was treated with esomeprazole, following which she developed photoallergic dermatitis. It improved on cessation of the drug and did not recur on subsequent treatment with ranitidine. Naranjo score for this adverse drug event was 8, thereby making it a probable adverse drug reaction. This reaction may be due to sulphur moiety, which is common to all these drugs. Physicians must be aware of this possible side-effect, especially in patients with prior history of photoallergy to other drugs. (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894451 Tue, 24 Aug 2010 08:25:15 +0100 3894451 Clinically effective CK-MB reporting: How to do it? http://www.medworm.com/index.php?rid=3894450&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D226%3Bepage%3D228%3Baulast%3DVivekanandan S Vivekanandan, R SwaminathanJournal of Postgraduate Medicine 2010 56(3):226-228The clinical utility of measuring the Muscle Brain (MB) isoenzyme of creatine kinase (CK) in the diagnosis of myocardial injury is well established. CK/CK-MB measurement in combination or CK-MB alone is widely used and reporting the results of CK-MB in absolute unit is the common current practice. CK-MB is widely measured by "Immunoinhibition" in India, which gives falsely elevated CK-MB results in the following circumstances: Central nervous system damage, childbirth, macro CK-immunoglobulin complex, in patients with carcinoma of various organs, such as prostate carcinoma and other adenocarcinomas. But, reporting %CK-MB rather than the absolute CK-MB results assists in detection ... Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894450 Tue, 24 Aug 2010 08:25:15 +0100 3894450 Flow cytometric immunophenotyping for the diagnosis of a rare T-LGL neoplasm http://www.medworm.com/index.php?rid=3894449&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D225%3Bepage%3D225%3Baulast%3DVartholomatos G Vartholomatos, L BenetatosJournal of Postgraduate Medicine 2010 56(3):225-225 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894449 Tue, 24 Aug 2010 08:25:15 +0100 3894449 CD4 + /NKa + /CD8 dim+ T-cell large granular lymphocytic leukemia: A rare entity http://www.medworm.com/index.php?rid=3894448&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D223%3Bepage%3D224%3Baulast%3DDadu T Dadu, A Rangan, M BhargavaJournal of Postgraduate Medicine 2010 56(3):223-224 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894448 Tue, 24 Aug 2010 08:25:15 +0100 3894448 Ascaris lumbricoides: A stranger in the urinary bladder causing urinary retention http://www.medworm.com/index.php?rid=3894447&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D222%3Bepage%3D223%3Baulast%3DSingh D Singh, P Vasudeva, D Dalela, SN SankhwarJournal of Postgraduate Medicine 2010 56(3):222-223 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894447 Tue, 24 Aug 2010 08:25:15 +0100 3894447 Is b3a2 a better prognostic variant in childhood chronic myeloid leukemia? http://www.medworm.com/index.php?rid=3894446&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D221%3Bepage%3D222%3Baulast%3DMalhotra KP Malhotra, CB Sharma, J Jain, RK GroverJournal of Postgraduate Medicine 2010 56(3):221-222 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894446 Tue, 24 Aug 2010 08:25:15 +0100 3894446 FDG-PET/CT in diagnosis and early response evaluation of extra-pulmonary tuberculosis in a patient with aplastic anemia http://www.medworm.com/index.php?rid=3894445&cid=s_33819_49_f&fid=33819&url=http%3A%2F%2Fwww.jpgmonline.com%2Farticle.asp%3Fissn%3D0022-3859%3Byear%3D2010%3Bvolume%3D56%3Bissue%3D3%3Bspage%3D219%3Bepage%3D221%3Baulast%3DHarisankar CNB Harisankar, BR Mittal, A Bhattacharya, B SinghJournal of Postgraduate Medicine 2010 56(3):219-221 (Source: Journal of Postgraduate Medicine) Journal of Postgraduate Medicine journals http://www.medworm.com/rss/comments.php?id=3894445 Tue, 24 Aug 2010 08:25:15 +0100 3894445