The National medical journal of India最新文献

{"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}

{"title":"News from here and there.","authors":"","doi":"10.25259/NMJI_1606_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1606_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"362-364"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016578","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":"SAPHO syndrome in a young male.","authors":"Karanjot Singh","doi":"10.25259/NMJI_1162_2023","DOIUrl":"https://doi.org/10.25259/NMJI_1162_2023","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"356"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036133","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":"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":"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}

{"title":"Clinical linguistic proficiency programme: An approach to achieve multilingual proficiency.","authors":"Manik Inder Singh Sethi, Narayana Manjunatha","doi":"10.25259/NMJI_1146_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1146_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"359-360"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049965","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":"Opioid use disorder: Long-term use of oral naltrexone for promoting abstinence.","authors":"Vrinda Kabra, Muhammad Jadeer, Siddharth Sarkar","doi":"10.25259/NMJI_950_2024","DOIUrl":"https://doi.org/10.25259/NMJI_950_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"358-359"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001735","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":"Thyroid hormone resistance due to a novel mutation in thyroid hormone receptor presenting as attention deficit hyperactivity disorder.","authors":"Rini Yadav, Monika Goyal, Anshita Aggarwal, Bindu Kulshreshtha","doi":"10.25259/NMJI_869_2022","DOIUrl":"10.25259/NMJI_869_2022","url":null,"abstract":"<p><p>Resistance to thyroid hormone (RTH) is rare and is characterized by high circulating levels of thyroid hormones in the presence of either normal or elevated thyroid stimulating hormone (TSH) levels. Decreased responsiveness of the peripheral tissues to thyroid hormones owing to defective thyroid receptor function is the underlying cause. RTH is variable in its presentation. We report a 21-year-old man with long-standing attention deficit hyperactivity disorder (ADHD) and learning disabilities. His thyroid function tests showed an increased free T3 and T4 in the presence of a non-suppressed TSH. Other pituitary hormones were normal. Subsequently, a genetic analysis revealed a heterozygous mutation (Pro452Thr) in THRβ gene, establishing the diagnosis of RTH. Thus, this was a RTH presenting as ADHD due to a novel mutation in the thyroid hormone receptor gene.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"332-334"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045918","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 perceptions, barriers and enablers towards uptake of research activities among undergraduate medical students: A mixed methods study.","authors":"Prateek Bobhate, Shivasakthy Manivasakan, Saurabh Rambiharilal Shrivastava","doi":"10.25259/NMJI_762_2022","DOIUrl":"10.25259/NMJI_762_2022","url":null,"abstract":"<p><p>Background Medical research, even though, an integral part of medical education, remains the most neglected domain in the medical curriculum in most medical colleges across India. Research, when introduced in the medical curriculum, gives an early opportunity to medical students to participate in it. We did a study to gain an insight into the perceptions of medical students and explored barriers and enablers towards uptake of research activities. Methods A mixed methods study was done over 9 months using a pre-tested semi-structured questionnaire and a focus group discussion among medical students. First, a quantitative survey was done using Google forms to assess students perception and attitude towards research. This was followed by 2 focused group discussions to explore the barriers and enablers towards uptake of research activities. Descriptive analysis was done for quantitative data and manual thematic content analysis for qualitative data. Results A total of 350 participants responded to the survey out of which 168 (59.1%) were women. Most students (339; 96.9%) perceived research to be important. Also, 313 (89.4%) and 245 (70%) showed willingness to attend research methodology workshops and conduct research studies, respectively. A manual thematic content analysis of the focus group discussion revealed two main themes: (i) barriers to conduct of research and (ii) enablers towards uptake of research. The major barriers were lack of knowledge about conducting research and lack of time and financial constraints. The enablers were conduct of periodic research methodology workshops and adequate mentoring by faculty. Conclusion There is a gap in the existing knowledge and practice in undergraduate medical research. Our study ascertained potential barriers as well as enablers for enhancing research activities by medical students. Adequate institutional support including funding for research coupled with proper mentoring by faculty and family support is crucial to foster a positive research culture among undergraduate medical students.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"339-344"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030958","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":"Motor functions and interventions to improve frailty in patients with heart failure.","authors":"Takuya Umehara, Akinori Kaneguchi, Nobuhisa Katayama, Wataru Kawakami, Daisuke Kuwahara, Nobuhiro Kito, Masayuki Kakehashi","doi":"10.25259/NMJI_743_2022","DOIUrl":"10.25259/NMJI_743_2022","url":null,"abstract":"<p><p>Background There is limited research on the factors influencing frailty improvement and on whether exercise therapy is effective in the general population with heart failure. We aimed to examine the factors and interventions that affect the improvement of frailty in older patients with heart failure during hospitalization. Methods This multicentre prospective cohort study included patients with heart failure admitted and treated in the participating hospitals. Cox regression analysis was done to determine factors and interventions that affect improvement of frailty. After the Cox regression analysis, the receiver operating characteristic (ROC) curve was calculated for significant predictors to assess the cut-off point. Results The factors that affect improvement of frailty were the high short physical performance battery (SPPB) chair-stand test and hand grip strength values. The results of the ROC analysis revealed that the cut-off values of the SPPB chair-stand test and hand grip strength were 2 points and 13.7 kg, respectively. Interventions that affect frailty improvement were use of dobutamine, low resting heart rate, early days to start until aerobic exercise, and light intensity or higher of aerobic exercise. Moreover, the cut-off values of the resting heart rate, number of days to start until aerobic exercise, and intensity of aerobic exercise were 80 beats per minute, 7 days, and 31.6%, respectively. Conclusions Our results suggest that pharmacotherapy and exercise will be effective to improve frailty in patients with heart failure. In particular, early exercise therapy, including aerobic exercise, started within 7 days, may be effective to improve frailty in older patients with heart failure with low resting heart rate, depending on their condition on admission.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"37 6","pages":"304-310"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059626","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}