Recently added articles from Journal of Postgraduate Medicine:
Maternal mortality: An autopsy audit
Jan 01, 2009; ... Of all the rights of women, the greatest is to be a mother' - Lin Yutang. The last decade has seen many safe motherhood programs being introduced in India for whom maternal death is a "social injustice" or a "health disadvantage". As per the International Statistical Classification of ...
Detection rate of prostate cancer using prostate specific antigen in patients presenting with lower urinary tract symptoms: A retrospective study
Jan 01, 2009; ... Prostate cancer is the most commonly diagnosed cancer in men and is one of the leading causes of cancer-related deaths. [1] Many men with lower urinary tract symptoms (LUTS) are screened for prostate cancer with prostate specific antigen (PSA) testing and a digital rectal examination (DRE) as a ...
Maternal mortality in India: The true killers
Jan 01, 2009; ... This issue of the journal carries reports [1],[2] from two teaching hospitals in Mumbai on autopsy findings in maternal mortalities. Though India, based on a sample registration system, reported its Maternal Mortality Rate (MMR) as being 301/100,000 live births, the WHO in its adjusted MMR ...
Comparison of internal sphincterotomy with topical diltiazem for post-hemorrhoidectomy pain relief: A prospective randomized trial
Jan 01, 2009; ... Pain is almost a constant feature after hemorrhoidectomy, which makes patients defer seeking care for prolapsing, bleeding, and uncomfortable piles. [1] Different methods used for pain reduction include performing internal sphincterotomy (IS), [2],[3] or chemical sphincterotomy. [4],[5] It is ...
Small cell carcinoma of the urinary bladder: Virtual CT cystoscopic findings
Jan 01, 2009; ... Primary small cell carcinoma of the urinary bladder (SCCB) is a rare, highly aggressive neoplasm. [1] Virtual CT cystoscopy has been proposed as an alternative imaging modality with advantages in the evaluation of urinary bladder pathology. [2],[3],[4],[5] We present a case of SCC of the urinary ...
Telmisartan in daily clinical practice: Factors affecting efficacy in treatment of primary arterial hypertension
Jan 01, 2009; ... Inhibition of the renin-angiotensin-aldosterone system (RAAS) is an important strategy for treatment of hypertension. [1] Telmisartan is a highly selective antagonist of the Type 1 receptors for angiotensin II (AT 1 receptors) with a long terminal elimination half-life. It allows for a ...
Acute anterior uveitis as the initial presentation of alkaptonuria
Jan 01, 2009; ... Alkaptonuria is a rare autosomal recessive metabolic disorder that affects approximately one in one million individuals. [1] The disease may present with multi-system involvement such as ochronotic arthropathy, renal, urethral and prostatic calculi, cardiac valvular lesions and pigmentation of ...
Unusual presentation of pulmonary tumor thrombotic microangiopathy with no detectable primary tumor
Jan 01, 2009; ... Pulmonary tumor thrombotic microangiopathy (PTTM) is an uncommon pathological entity that involves diffuse thrombotic microemboli and fibrocellular intimal proliferation of the pulmonary vasculature. These features result from the spread of tumor microthrombi to the small arteries, arterioles ...
Executive functions and cognitive deficits in schizophrenia: Comparisons between probands, parents and controls in India
Jan 01, 2009; ... Cognitive deficits are regarded as core aspects of the disease process in schizophrenia (Sz), independent of clinical symptomatology or anti-psychotic medications. Such deficits also strongly influence outcome. [1] While the degree of cognitive impairment can vary considerably among individuals, ...
Double pyramidal thyroid lobe
Jan 01, 2009; ... The pyramidal lobe of the thyroid gland is an embryologic remnant of the caudal end of the thyroglossal tract. Usually, in anatomical textbooks it is quoted that it may be absent or duplicate. [1],[2] However, by an extensive search of the historical medical data (anatomical and surgical) and ...
Sinonasal sarcoid
Jan 01, 2009; ... Parotid swelling is commonly seen by the general internal physician but rarely in combination with anosmia. Olfactory dysfunction is a recognised complication of sarcoidosis in 1-4% of patients. [1] The incidence of sinonasal sarcoid (SNS) is difficult to estimate and believed to be ...
Dietary factors and cancer chemoprevention: An overview of obesity-related malignancies
Jan 01, 2009; ... Obesity is a serious health problem in the industrialized world. Also, similar trends have been observed in many developing countries. [1] Energy-dense diets with refined carbohydrates and saturated fat, and sedentary lifestyle are associated with the development of obesity. [2] According to the ...
Venous thromboembolism: The intricacies
Jan 01, 2009; ... The coagulation cascade is an intrinsic protective mechanism, which is responsible for limiting blood loss by precisely regulating interactions between components of vessel wall, platelets and plasma proteins. [1] However, unregulated activation of this cascade can have potentially deleterious ...
Tigecycline
Jan 01, 2009; ... Antibiotic resistance is a serious problem worldwide, and has increased morbidity, mortality and healthcare costs. With emerging serious infections especially nosocomial, clinicians are running short of antibiotics. There is a need to develop new agents that overcome existing mechanisms of ...
Convulsions with propofol: A rare adverse event
Jan 01, 2009; ... Many anesthetic and analgesic drugs have been reported to produce seizures. Propofol has gained widespread popularity, especially in daycare surgery as an induction/sedation agent and for Total Intravenous Anesthesia. This case highlights a rare (incidence [1] Case Report A ...
The Student-patient relationship: A student's perspective on the grey areas
Jan 01, 2009; ... The clinical rotation which commences in the second year of the undergraduate course in India is a defining moment for most students. Aspirations in glittering careers in clinical medicine sprout from these humble beginnings. Seeds of transition from a medical student to a doctor are sown here ....
Comment on: Nimesulide and adverse drug reactions: Time for a database
Jan 01, 2009; ... Sir, I agree with Dr. Khan on the interest of a recently reported case of hepatitis and toxic epidermal necrolysis linked to nimesulide use, considering that apparently no case of this association has been previously published. [1],[2] In fact, spontaneous reports of adverse drug events ...
Primary gastric mucormycosis: Role of preexisting ulcerative and erosive lesions
Jan 01, 2009; ... Sir, The article entitled "Primary gastrointestinal mucormycosis in an immunocompetent person" by Shiva Prasad BN, et al., [1] in the July 2008 edition of the Journal of Postgraduate Medicine was informative. Though the authors consider that there are no predisposing factors, the ...
Authors' Reply
Jan 01, 2009; ... Sir, We thank the author [1] for the interest given for our article. [2] Patient did not have history of smoking, alcoholism and peptic ulcer. Most of the literature with gastric mucormycosis have single large ulcer. Single large ulcer is mentioned rather than multiple small ...
Comment on - End of life care: Issues and challenges
Jan 01, 2009; ... Sir, It was very gratifying to read the editorial "End of Life Care: Issues and Challenges". [1] For a palliative care physician like me, seeing this lucid article in a prestigious mainstream medical journal like the JPGM appears as a glimmer of hope, that this subspecialty is gaining ...