International Journal of Academic Medicine最新文献

{"title":"What's new in Academic International Medicine? The importance of nutrition in hospitalized COVID-19 patients","authors":"A. Gerlach, Sheela Thomas, Cindy Byrd","doi":"10.4103/2455-5568.304608","DOIUrl":"https://doi.org/10.4103/2455-5568.304608","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"283 - 286"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43495376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative strategies to strengthen medical education-related activities in medical colleges of India","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/IJAM.IJAM_2_19","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_2_19","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"399 - 401"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49302838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy during COVID-19 pandemic – Maternal and neonatal outcomes: A concise review","authors":"Hira W Khan, Hafsa Sabzposh, S. Deshpande, R. Kashyap","doi":"10.4103/IJAM.IJAM_94_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_94_20","url":null,"abstract":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began as an epidemic in China and has spread rapidly in many other countries. Severe adverse pregnancy outcomes resulted from SARS and Middle-East respiratory syndrome. Although consequences of infection with SARS-COV-2 for pregnancies are uncertain at this time, the possibility of severe outcomes should be considered. The physiological maternal adaptations in pregnancy predisposed women to more severe pneumonia, resulting in higher maternal morbidity. There is a paucity of literature regarding the effect of SARS-CoV-2 infection during pregnancy, thus limiting both counseling and management of these patients. This literature review combines the studies from different geographical locations and focuses on whether SARS-CoV-2 infection is transmitted vertically from mothers to neonates and if there are adverse pregnancy and neonatal outcomes such as fetal distress, premature labor, and acute respiratory distress syndrome. We also reviewed the guidelines regarding breastfeeding during the SARS-CoV-2 pandemic. We have used PubMed utilizing search terms as COVID-19, pregnancy, SARS-CoV-2, coronavirus, and pregnancy outcomes. We found sixty studies that met our inclusion criteria, of which total ten studies were included in the review. Inclusion criteria are based on the studies which had pregnant women who were exposed to SARS-CoV-2 and had information on vertical transmission of SARS-CoV-2. Currently, there is no evidence that SARS-CoV-2 undergoes intrauterine or transplacental transmission from infected pregnant women to their fetuses. Based on the current course of SARS-CoV-2 and its rampant growth, it is reasonable to expect that an enormous number of possible asymptomatic pregnant women will present for care. It is suggested that SARS-CoV-2 infection is commonly asymptomatic and should be suspected in all pregnant patients in areas with predominant disease. The following core competencies are addressed in this article: Medical knowledge, Patient care, Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"287 - 293"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49585814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chylothorax in a young child after a palliative cardiac surgery","authors":"A. Taksande, Gnanvelu Injeti, Maithali Joshi, R. Meshram","doi":"10.4103/IJAM.IJAM_90_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_90_20","url":null,"abstract":"Chylothorax is an unusual complication in children. It is diagnosed by demonstrating high triglyceride content in the pleural fluid and a low cholesterol concentration in relation to the serum cholesterol. While undergoing cardiothoracic surgery, damage to the thoracic duct may take place which is one of the leading causes of chylothorax. Here, we present a case of chylothorax in a 10-year-old boy who was operated for cyanotic congenital heart disease. He was managed for resolution of chylothorax with various measures such as dietary management, intercostal drainage tube, drugs, and respiratory exercises. The following core competencies are addressed in this article: Practice-Based Learning and Improvement, Patient care and Procedural skills.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"320 - 323"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47396734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of calorically dense enteral formulas in adult home enteral nutrition population in a tertiary care center: A retrospective analysis","authors":"Ramya Narasimhan, J. Patel, S. Velapati, O. Mohamed Elfadil, R. Hurt, M. Mundi","doi":"10.4103/IJAM.IJAM_92_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_92_20","url":null,"abstract":"Introduction: The prevalence of home enteral nutrition (HEN) has increased dramatically as studies showing clinical benefit have emerged. During this time, the practice of HEN has evolved as well including the availability of diverse formulas ranging in macronutrient distribution and concentration. Despite this availability, there continues to be a paucity of data regarding the efficacy of 2.0 kcal/ml density formulas in the HEN population. Materials and Methods: A retrospective review of HEN database was conducted for the use of concentrated formula (2.0 kcal/ml). Baseline variables as well as efficacy of formula were assessed. Results: In the time period evaluated, 32 HEN patients with a mean age of 58 ± 13.4 years met inclusion criteria. A total of 25 (78.1%) patients were male, the most common indication for HEN was dysphagia (53.1%), and the most common diagnosis was head-and-neck cancer (65.7%). The vast majority (87.4%) received concentrated formula through percutaneous gastrostomy (PEG) and were able to receive 93.1% ±19.7% of their goal calories needs as well as 98.5% ±21.7% of their goal protein needs. A total of 9 (28%) patients were initially started on concentrated formula, whereas 23 (72%) were switched from their initial formula with most common indication being the need for additional calories. Twenty-nine patients (90.6%) were able to utilize the formula as their primary source of nutrition with 22 patients (69%) reported no adverse effects. Conclusions: Our study found that the use of concentrated formula was well tolerated in a diverse cohort of patients, meeting their calorie and protein needs. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning, Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"294 - 300"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44861575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growth through adversity: The impact of COVID-19 pandemic on the american college of academic international medicine","authors":"C. Bloem, A. Wulf, S. Galwankar, M. Garg, D. Jeanmonod, R. Maio, G. Peck, Z. Sifri, V. Gracias, P. Nanayakkara, R. Jeanmonod, Sona M. Garg, H. Anderson III, Ijeoma N Opara, Andrew C. Miller, M. Firstenberg, P. Daniel, S. Di Somma, T. Papadimos, S. Stawicki","doi":"10.4103/IJAM.IJAM_162_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_162_20","url":null,"abstract":"The COVID-19 pandemic has been especially challenging to the academic international medical (AIM) community. The impact on the field of clinical medicine has been the most pronounced, particularly in the way that education is provided and academic medicine is pursued by clinicians. With the goal of providing top quality, highly relevant content for our membership, the American College of Academic International Medicine (ACAIM) teamed up with our sister organizations, the World Academic Congress of Emergency Medicine (WACEM), the Global Research on Acute conditions Team (GREAT, Rome, Italy and Basel, Switzerland), and EMA-INDIA (Indirapuram, India). The goal of this truly global coalition was to jointly host weekly web meetings that focus on topics relevant to participating stakeholder communities, with additional focus on the ongoing COVID-19 pandemic. Summary of these efforts and outcomes is provided in this article. The following core competencies are addressed in this article: Interpersonal and communication skills; Professionalism; Practice-based learning and improvement","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"332 - 336"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42588454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical profile and risk factors of recurrent urinary tract infection in patients with type 2 diabetes","authors":"Tauseef Nabi","doi":"10.4103/IJAM.IJAM_83_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_83_20","url":null,"abstract":"Introduction: Type 2 diabetes (T2D) patients are at increased risk of recurrent urinary tract infection (UTI). The identification of the risk factors can help pinpoint modifiable factors amenable to a disease prevention strategy for recurrent UTI. This study is aimed to find the prevalence, clinical, biochemical profile, and risk factors of recurrent UTI in T2D patients and the effect on glycemic control and renal parameters on follow-up. Materials and Methods: This was a prospective hospital-based study done on admitted T2D UTI patients. Various clinical, biochemical parameters, and urine examination and culture were monitored. Patients were followed for 6 months concerning the number of UTIs, glycemic control, and renal parameters. Results: The prevalence of recurrent UTI was 39.6%. Recurrent UTI was common in females 61 (44.8%) compared to males 6 (18.2%). Poor renal function, uncontrolled diabetes, renal calculi, and cystopathy increase the risk of recurrent UTI in T2D females. Whereas in males, poor glycemia and lower estimated glomerular filtration rate (eGFR) increase the risk of recurrent UTI. The recurrent UTI patients had significantly higher glycosylated hemoglobin (HbA1c) at follow-up than at baseline, but renal parameters did not improve despite intensive treatment. Conclusion: Recurrent UTI is the consequences of uncontrolled glycemia, which in turn perpetuates UTI risk. A significant number of T2D patients develop recurrent UTI on follow-up, especially females. Recurrent UTI causes short and long-term hyperglycemia, and renal function continues to remain altered despite intensive treatment. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning and improvement, and Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"301 - 308"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46187389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mental health burden of social distancing during the coronavirus disease 2019 pandemic","authors":"Samia H Mazumder, Ijeoma N Opara","doi":"10.4103/IJAM.IJAM_76_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_76_20","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic has had far-reaching economic and mental health impacts on a global scale. Symptoms of anxiety, depression, and overall distress may have been exacerbated by the mental health tolls of the pandemic. It is also important to consider the impact of gender, socioeconomic status and whether one is a frontline worker involved in the treatment of critically ill patients. In order to fully recover from the pandemic, we must be able to identify and treat any mental health disorders that may emerge from the effects of social distancing. Improving access to mental health screening and treatment opportunities through platforms that utilize telehealth may be a part of the solution. In addition, providing institutional support for health-care workers, promoting a safe work environment, and encouraging a robust conversation about mental health will aid in mitigating the negative impacts of social distancing during the COVID-19 pandemic. The following core competencies are addressed in this article: Interpersonal and communication skills, Practice-based learning, Systems-based practice","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"328 - 331"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41852731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complete clinicopathological profile and etiological spectrum of pancytopenia in adult patients attending a tertiary care referral center in Eastern India","authors":"Srishtidhar Mangal, S. Sinha","doi":"10.4103/IJAM.IJAM_55_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_55_20","url":null,"abstract":"Introduction: Pancytopenia is a common hematological condition manifesting as a simultaneous decrease in formed elements of blood-red blood cell, white blood cell, and platelets. It happens in many illnesses, ranging from simple drug-induced bone marrow hypoplasia, megaloblastic anemia to fatal bone marrow aplasias and leukemias. Identifying the correct etiology and clinicopathological spectrum of pancytopenia helps in implementing timely and appropriate treatment. Hence, this study was undertaken for profiling pancytopenia and we chose to focus on adult patient only. Materials and Methods: The present study was an observational, cross-sectional study conducted at a tertiary care referral center in Kolkata which included 91 cases of pancytopenia over a period of 2 years. Cases were of both sexes and age >20 years who were not on any kind of drug therapy. Cases were evaluated clinically and with complete set of relevant pathological parameters. Results: In our study, the most common etiology was aplastic anemia (24.2%), followed by myelodysplastic syndrome (17.6%) and acute leukemia (14.3%). The most common age range being 21–30 years and most common symptom being progressive pallor. Anisocytosis, reticulocytosis, hypercellular marrow, and no marrow fibrosis were the most common hematological pictures. Severe pancytopenia was seen in aplastic anemia and acute leukemia. Conclusion: The present study concludes that detailed clinical history and complete hematological investigations including bone marrow studies in patients presenting with symptoms of pancytopenia are essential in understanding the disease process and to delineate the causes of pancytopenia. We found aplastic anemia to be the most common etiology in our study, consistent with the studies of Kumar et al. and Niazi et al. The following core competencies are addressed in this article: Practice-based learning and improvement, Patient care and procedural skills, Medical knowledge, and Professionalism","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"309 - 315"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46505120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study to assess the psychosocial impact of COVID-19 pandemic on health-care workers at a tertiary care hospital in India","authors":"A. Bansal, Smita Jain, L. Sharma, Munesh Kumar, Anil Sharma","doi":"10.4103/IJAM.IJAM_89_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_89_20","url":null,"abstract":"Introduction: Corona virus disease 2019 (COVID-19) has been declared a notified disaster and public health emergency of international concern. Health-care workers (HCWs) who are involved in the care of these COVID patients are at additional risk of developing mental illness themselves due to direct exposure associated with the disease in them leading to this study. Aim: This study aims to assess the psychosocial impact of COVID-19 pandemic on HCW using Screening Questionnaire for Disaster Mental Health (SQD). Materials and Methods: A cross-sectional study was done on 112 HCW in SMS Hospital, Jaipur from June 1, 2020, to June 15, 2020. SQD was used to assess the magnitude of posttraumatic stress disorder and depression in these HCWs who were directly involved in care of COVID-19 patients at some point of time and had no previous history of mental illness. Results: 5.67% HCW were suffering from severe posttraumatic stress disorder and similar 5.67% had severe depression due to COVID-19. Results analyzed by t-test found that, overall, HCWs were mildly affected by COVID-19 in terms of posttraumatic stress disorder (mean value 2.16; 95% confidence interval [CI] = 1.80–2.53, P = 0.000) and depression (mean value 1.27; 95% CI = 0.97–1.57, P = 0.000) as per SQD scale. Conclusion: The study highlighted that the majority of the HCW were slightly affected by corona pandemic in terms of posttraumatic stress disorder and depression but as corona is still persisting, the need of constant vigilance for its psychosocial impact on them continues. The following core competencies are addressed in this article: Medical knowledge, Professionalism, Practice-based learning and improvement, Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"197 - 202"},"PeriodicalIF":0.6,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48192747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}