{"title":"Anatomy of loss: A doctor's perspective.","authors":"Suprita Kalra","doi":"10.25259/NMJI_15_2024","DOIUrl":"https://doi.org/10.25259/NMJI_15_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"345"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061641","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":"Coexistence of BCR-ABL1 reassortment and JAK2 V617F mutation in chronic myeloid leukaemia.","authors":"Jianjun Yang Cheeloo, Kehong Bi, Zhaoguang Zhang","doi":"10.25259/NMJI_61_2022","DOIUrl":"https://doi.org/10.25259/NMJI_61_2022","url":null,"abstract":"<p><p>Myeloproliferative neoplasms (MPNs) can be classified into two major categories, namely chronic myeloid leukaemia (CML) and Philadelphia-negative MPNs (PN-MPNs). BCR- ABL1 reassortment is an irreplaceable indicator for the diagnosis of typical CML, while the V617F mutation on the Janus kinase 2 (JAK2) gene is common in PN-MPNs patients. Generally, these two genetic abnormalities are considered unable to coexist. We report a patient with CML who had both genetic changes, suggesting that when tyrosine kinase inhibitors (TKIs) monotherapy cannot obtain satisfactory treatment outcomes in CML patients, another possibility besides disease progression is a mutation on the JAK2 V617F gene.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"325-326"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059528","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":"Assessment of food safety and hygiene practices of street food vending units in urban and semi-urban areas of Puducherry.","authors":"Vignesh Loganathan, Prasanna Thirunavukkarasu, Venmani Muthukrishnan, Thiruselvakumar Dhanuskodi","doi":"10.25259/NMJI_793_2022","DOIUrl":"https://doi.org/10.25259/NMJI_793_2022","url":null,"abstract":"<p><p>Background We aimed to assess the food safety and hygiene practices at street food vending units (SFVUs) in urban and semi-urban areas of Puducherry. Methods We did an observational assessment in two areas of Puducherry. We did a walk-through mapping and enumeration to identify active SFVUs. Later, through discrete non-participatory observations, we recorded various physical, environmental, food handling, vending and behavioural aspects involved in street food vending using a checklist. This was done at an optimal distance from the SFVUs, without the knowledge of the vendor. Results Of the 115 SFVUs enumerated, 102 units were active during observation visits; 52 in Lawspet (urban) and 50 in Villianur (semi-urban). None of these units displayed the licence or certification required under India's Food Safety and Standards Act. Only 29 (28.3%) of the units had dedicated handwashing facilities, and 50 (49%) had dustbins. All the units had separated raw foods from cooked foods. Other key characteristics such as maintenance of appropriate temperature to preserve foods, appropriate packaging materials, and cleaning methods, were less than satisfactory. Vendors involved in frequent unhygienic behaviours and practices, including frequent contact with food being served, body parts, cash and utensils, but in relatively fewer healthy behaviours such as handwashing or cleaning. Conclusion Street food vending and consumption were common and of unsatisfactory standards in urban and semi-urban parts of Puducherry.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"311-314"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061468","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":"Psoriasiform plaques: A great mimic.","authors":"Viola Elvia Sequeira, Carol Lobo, Sowmya Kaimal","doi":"10.25259/NMJI_1111_2023","DOIUrl":"https://doi.org/10.25259/NMJI_1111_2023","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"357"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059634","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":"Masala.","authors":"Bhavin Jankharia","doi":"10.25259/NMJI_1327_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1327_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"361"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056971","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}
Ayyappan Ajan, Johanna Sophie VON Lieres, Vishnu Jayan, Sai Bala M, Deepu D Sasi, Radhika Mohandas, Bhavani R Rao
{"title":"Feasibility study of a low-cost powered air-purifying respirator (PAPR): A hospital-based simulation study to assess the perception of healthcare professionals.","authors":"Ayyappan Ajan, Johanna Sophie VON Lieres, Vishnu Jayan, Sai Bala M, Deepu D Sasi, Radhika Mohandas, Bhavani R Rao","doi":"10.25259/NMJI_905_2022","DOIUrl":"https://doi.org/10.25259/NMJI_905_2022","url":null,"abstract":"<p><p>Background There is a need for affordable and effective air-filtering respirators, that provide the user protection against infection and are comfortable to wear. Among the various air-filtering respirators, powered air-purifying respirators (PAPR) that supply the user with filtered air through a powered system provide better protection than the commonly used N-95 masks, that directly filters the air that surrounds the user, with filtration efficiency of these procedures being up to 99.99% and up to 95%, respectively. However, in India, the PAPRs are imported, making them unaffordable. Engineers at our university developed a low-cost PAPR model. We investigated the feasibility of using this low-cost PAPR as a potential air-filtering respirator as part of personal protective equipment. Methods In a simulation study, 20 woman nurses wore an N-95 mask with face shield, or the low-cost PAPR in two separate sessions and performed routine nursing tasks. They then answered questionnaires to assess their perceived comfort and suitability for the tasks. Results The low-cost PAPR provided better breathing comfort and vision. However, the current N-95 mask system was perceived to be more suitable for tasks requiring high mobility. Discussion Our study demonstrated the feasibility of the low-cost PAPR model, particularly for low-mobility tasks.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"315-321"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056604","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 evolution of Irish Medical Journals.","authors":"Sunil K Pandya","doi":"10.25259/NMJI_436_2024","DOIUrl":"https://doi.org/10.25259/NMJI_436_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"346-351"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059628","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":"Continuing Medical Education (CME): The experience from Hong Kong.","authors":"Sunny Chi Lik Au","doi":"10.25259/NMJI_1342_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1342_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"359"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056966","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}
Vikas Marwah, Arun Hegde, Sudipt Adhikari, Robin Choudhary
{"title":"Antiphospholipid anti-body syndrome presenting with diffuse alveolar haemorrhage and refractory autoimmune haemolytic anaemia.","authors":"Vikas Marwah, Arun Hegde, Sudipt Adhikari, Robin Choudhary","doi":"10.25259/NMJI_616_21","DOIUrl":"https://doi.org/10.25259/NMJI_616_21","url":null,"abstract":"<p><p>Antiphospholipid antibody syndrome (APS) is characterized by vascular thrombosis. Somewhat paradoxically, some patients with this disease develop diffuse alveolar haemorrhage. This bleeding is usually a delayed manifestation, occurring a few years after the onset of other manifestations and diagnosis of APS. We encountered a patient with an unusual presentation, i.e. onset with diffuse alveolar haemorrhage as well as vascular thromboses. He also had autoimmune haemolytic anaemia, which is infrequent in APS. The diagnosis of APS was based on elevated levels of IgM and IgG anti-cardiolipin antibody and IgG and IgM beta-2 GP1 antibodies. Treatment with high-dose glucocorticoids, anticoagulants and rituximab led to a decline in levels of these antibodies and was associated with a good and lasting clinical response.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"329-331"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054080","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}