Dr ASHISH K SAXENA, Dr NEELAM BALA, Dr RAKA SHEOHARE, Dr BIJAY PATNI
{"title":"Role of Cranberry in Urinary Tract Infections","authors":"Dr ASHISH K SAXENA, Dr NEELAM BALA, Dr RAKA SHEOHARE, Dr BIJAY PATNI","doi":"10.59793/ijcp.v34i9.775","DOIUrl":"https://doi.org/10.59793/ijcp.v34i9.775","url":null,"abstract":"Urinary tract infection (UTI), both symptomatic and asymptomatic, occurs very frequently in the population, especially amongpatients with diabetes. With the advent of newer medications such as sodium-glucose co-transporter 2 (SGLT2) inhibitors, thereis greater focus on this disease. Cranberry products have been used earlier in various forms as a natural remedy for this disease.Certain compounds like flavonoids, distinctive proanthocyanidins with prominent active ingredients like phenolic acid inhibitthe adherence of fibrillae of Escherichia coli to the urothelial cells lining the urinary bladder. This article takes a brief look atthe disease and the role of cranberry as a natural remedy for UTI.","PeriodicalId":506647,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"53 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961340","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":"Are Advance Medical Directives Legal in India?","authors":"Ijcp","doi":"10.59793/ijcp.v34i9.781","DOIUrl":"https://doi.org/10.59793/ijcp.v34i9.781","url":null,"abstract":"MEDICOLEGAL","PeriodicalId":506647,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"24 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139960849","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}
Dr KEYUR PATEL, Dr RAJENDRA B NERLI, Dr NAVIN MULIMANI, Dr SHREYAS RAI, Dr ABHINAY JOGULA, Dr ASHWIN BOKARE, Dr NISHANT SETYA
{"title":"Post-Traumatic Renal Artery Pseudoaneurysm Managed Successfully with Angioembolization","authors":"Dr KEYUR PATEL, Dr RAJENDRA B NERLI, Dr NAVIN MULIMANI, Dr SHREYAS RAI, Dr ABHINAY JOGULA, Dr ASHWIN BOKARE, Dr NISHANT SETYA","doi":"10.59793/ijcp.v34i9.776","DOIUrl":"https://doi.org/10.59793/ijcp.v34i9.776","url":null,"abstract":"Renal artery pseudoaneurysm is a rare complication of blunt renal trauma. Super-selective angioembolization is aminimally invasive, effective procedure to manage traumatic renal artery pseudoaneurysm, in patients who are hemodynamicallystable. We report our experience in the management of patients with post-traumatic bleeding pseudoaneurysm withangioembolization. Materials and methods: We retrospectively reviewed the inpatient and outpatient records and imagingdata of our hospital, of all patients with history of blunt injury to kidneys, admitted with massive hematuria and underwentangioembolization to control the bleeding. Results: During the study period, 3 patients (all male) with a mean age of 26.66 yearspresented to us with blunt injury abdomen. Contrast computed tomography (CT) revealed Grade IV renal injury in 2 patientsand Grade V injury in 1 patient. Focal intensively enhancing areas were noted at the site of renal parenchymal lacerationssuggestive of pseudoaneurysms. Super-selective catheterization was performed and embolization done using 50% N-butyl-2-cyanoacrylate (NBCA) + Lipiodol. Conclusions: Angioembolization, a radiographic intervention, is an effective and minimallyinvasive technique to stop active bleeding from renal artery pseudoaneurysms.","PeriodicalId":506647,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"53 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961337","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}
Dr DARPAN KOTHIA, Dr DHYEY MUNGALPARA, Dr HEMANG K ACHARYA, Dr MANISH N MEHTA
{"title":"A Case of Idiopathic Autoimmune Hemolytic Anemia: Every Anemia – First Type It and Then Treat It","authors":"Dr DARPAN KOTHIA, Dr DHYEY MUNGALPARA, Dr HEMANG K ACHARYA, Dr MANISH N MEHTA","doi":"10.59793/ijcp.v34i9.778","DOIUrl":"https://doi.org/10.59793/ijcp.v34i9.778","url":null,"abstract":"Autoimmune hemolytic anemia (AIHA) is a medical disorder where the immune system erroneously targets and destroysred blood cells (RBCs), causing a reduction in their longevity. This results in an inadequate supply of RBCs to carry oxygen,leading to symptoms like fatigue, weakness and jaundice. AIHA is categorized into warm and cold types based on theoptimal temperature for antibody activity. A comprehensive grasp of the immunological mechanisms involved is essentialfor accurate diagnosis and effective management of this autoimmune condition. AIHA is a frequently missed diagnosis aspatient are not fully investigated, and treated with vitamin B12, folic acid and iron in outpatient department.","PeriodicalId":506647,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139960998","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}
Dr I SATHYAMURTHY, Dr KANTHALLU NARAYANAMOORTHY SRINIVASAN
{"title":"Extended Use of Ivabradine in Heart Failure with Preserved Ejection Fraction and Inappropriate Sinus Tachycardia","authors":"Dr I SATHYAMURTHY, Dr KANTHALLU NARAYANAMOORTHY SRINIVASAN","doi":"10.59793/ijcp.v34i9.779","DOIUrl":"https://doi.org/10.59793/ijcp.v34i9.779","url":null,"abstract":"Ivabradine has been used for over a decade in managing chronic coronary syndromes and heart failure (HF) with reducedejection fraction (HFrEF). HF with preserved ejection fraction (HFpEF) accounts for 50% of the total HF cases carrying equalmortality and morbidity risk as HFrEF. Increased heart rate (HR) in such cases has been shown to be associated with poorclinical outcomes. Clinical conditions like inappropriate sinus tachycardia (IST) manifest with elevated HR without anyspecific triggers. Beta-blockers have been the preferred treatment of choice for both HFpEF and IST but are often ineffective orpresent with side effects due to their negative ionotropic effects. Ivabradine, through its inhibitory action on funny current(Ifc), reduces HR without altering the inotropic mechanism. Few case reports and small case series have documented itsextended use and efficacy in reducing HR in these cardiac conditions. In this article, we present two cases who needed HRcontrol, one with HFpEF and another case of IST syndrome. Ivabradine was successfully used in both these cases to controlthe elevated HR.","PeriodicalId":506647,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"46 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961286","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":"Sports-Statin Interaction: Ensuring Safe and Smart Synergy","authors":"Dr Sanjay Kalra, Dr Suneet Verma, Dr KAMAL KISHOR","doi":"10.59793/ijcp.v34i9.780","DOIUrl":"https://doi.org/10.59793/ijcp.v34i9.780","url":null,"abstract":"Both sports (physical activity) and statins are recommended for the prevention and management of atherosclerotic cardiovasculardisease. The synergy that they create in risk reduction, however, may turn dysfunctional at times. Statin usage is associated witha risk of muscle-related conditions including myalgia, myositis and rhabdomyolysis. This risk is exacerbated by unaccustomedphysical activity, exercise or sports. The communication shares practical and pragmatic suggestions regarding the preventionand management of the potential sports-statin interactions that may occur. It also highlights the need to consider drug-lifestyleinteractions, apart from conventional drug-drug interactions.","PeriodicalId":506647,"journal":{"name":"Indian Journal Of Clinical Practice","volume":"40 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961977","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}