Journal of postgraduate medicine最新文献_第3页

Clinical implications of embryological variations in middle cerebral artery anatomy. 大脑中动脉解剖胚胎学变异的临床意义。

Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.4103/jpgm.jpgm_757_23

D Muzumdar

引用次数: 0

Waiting to exhale: Retrieval of an unusual bronchial foreign body. 等待呼气取出异常支气管异物。

Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2023-12-15 DOI: 10.4103/jpgm.jpgm_456_23

D Franey, Z Frenzel, D Manchester

引用次数: 0

Recharge the cells to overcome the debilitating symptoms in long-COVID. 为细胞充电，克服长期慢性阻塞性肺病的衰弱症状。

Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2024-03-06 DOI: 10.4103/jpgm.jpgm_833_23

V Sharma

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Rete middle cerebral artery presenting with a ruptured aneurysm. Rete大脑中动脉瘤破裂。

Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2023-09-29 DOI: 10.4103/jpgm.jpgm_152_23

D K Singh, D Shankar, K Yadav, M Kaif

引用次数: 0

Creatine supplementation combined with breathing exercises reduces respiratory discomfort and improves creatine status in patients with long-COVID. 在补充肌酸的同时进行呼吸练习，可减轻呼吸道不适，改善长期 COVID 患者的肌酸状况。

Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2023-12-07 DOI: 10.4103/jpgm.jpgm_650_23

J Slankamenac, M Ranisavljev, N Todorovic, J Ostojic, V Stajer, S M Ostojic

引用次数: 0

Glimpses of pheochromocytoma-paraganglioma management through ambulatory blood pressure monitoring window. 通过动态血压监测窗口窥视嗜铬细胞瘤-副神经节瘤的管理。

Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2023-12-07 DOI: 10.4103/jpgm.jpgm_642_23

S Kamalanathan

引用次数: 0

Sleep apnea in end-stage renal disease patients: Impact on cardiovascular and neurological outcomes. 终末期肾病患者的睡眠呼吸暂停：对心血管和神经系统预后的影响。

Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_440_23

L Acree, J L Waller, W B Bollag, W J Healy, S L Baer, V Taskar

{"title":"Sleep apnea in end-stage renal disease patients: Impact on cardiovascular and neurological outcomes.","authors":"L Acree, J L Waller, W B Bollag, W J Healy, S L Baer, V Taskar","doi":"10.4103/jpgm.jpgm_440_23","DOIUrl":"10.4103/jpgm.jpgm_440_23","url":null,"abstract":"Introduction: Sleep apnea (SA) is an important comorbidity in end-stage renal disease (ESRD) patients. The association between SA and cardiac and neurological disease is known. This study investigates the relationship between SA and cardiovascular and cerebrovascular outcomes in the ESRD population.Methods: In a retrospective cohort study, the United States Renal Data System was queried to identify ESRD patients aged 18-100 years in whom hemodialysis had been initiated between 2005 and 2013. Diagnoses of SA and clinical comorbidities were determined from International Classification of Disease-9 codes. Demographic variables were obtained from Centers for Medicare and Medicaid Services Form-2728. Logistic regression was used to examine the association of SA with myocardial infarction (MI) or with stroke, controlling for demographic and clinical variables.Results: Of 858,131 subjects meeting the inclusion criteria, 587 had central SA, and 22,724 had obstructive SA. The SA cohort was younger, more likely to be male and Caucasian compared to the non-SA cohort. Patients with SA also had more tobacco and alcohol use, hypertension, heart failure, and diabetes. Central SA (aRR = 1.69, 95% CI = 1.28-2.23) and obstructive SA (aRR = 1.15, 95% CI = 1.09-1.21) were associated with an increased risk of stroke but not MI.Conclusion: In the ESRD population, a diagnosis of central SA or obstructive SA increased the risk of stroke, but not MI. Early identification and treatment of SA in the ESRD population may help reduce the risk of stroke in these patients.","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10947737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How appropriate are referral letters written by school principals to a learning disability clinic? A retrospective audit. 校长写给学习障碍诊所的转介信有多恰当？回顾性审计。

Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_932_23

S Karande, D Rajiv

引用次数: 0

To restrict or not to restrict - Understanding the conundrum of dietary protein restriction in chronic kidney disease. 限制还是不限制--了解慢性肾病患者限制饮食蛋白质的难题。

Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_862_23

T Jamale, S Bose

引用次数: 0

Ventricular mural thrombi - An occult occurrence? 心室壁血栓--隐性发生？

Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_389_23

P Vaideeswar, M Srikant

{"title":"Ventricular mural thrombi - An occult occurrence?","authors":"P Vaideeswar, M Srikant","doi":"10.4103/jpgm.jpgm_389_23","DOIUrl":"10.4103/jpgm.jpgm_389_23","url":null,"abstract":"Background: Ventricular mural thrombi are rare occurrences and form one of the common mechanical complications of myocardial infarctions. They also occur in patients with nonischemic myocardial disorders and even in those devoid of cardiac diseases. Clinical detection often depends on the size of the thrombi.Aim: This study was aimed at ascertaining the etiopathogenesis of mural thrombi with a clinicopathologic correlation.Materials and methods: This was a 12-year retrospective observational study reviewing the autopsy records of all cases showing ventricular mural thrombi. The location, size, morphology, and histologic appearances of the thrombi were noted. The cases, depending on the etiology, were categorized into myocardial ischemic (Group 1), myocardial nonischemic (Group 2), and non-myocardial (Group 3) causes. These features were correlated with the clinical settings.Results: There were 93 cases of mural thrombi with an almost equal sex distribution and a mean age of 45.9 years. The cause was ischemic heart disease in most of the patients (Group 1, 46.2%), while 21.5% and 32.3% of patients belonged to Group 2 and Group 3, respectively. Unlike the large and dominantly left ventricular thrombi seen in Group 1, the other two groups frequently had biventricular involvement, location in the intertrabecular spaces, and a high microscopic detection. Clinical diagnosis had been made in only 3.2% of patients. Thromboembolism was noted in other organs in 34.4% of the total cases.Conclusion: Ventricular thrombi should be ruled out in patients with evidence of systemic and/or pulmonary thromboembolism, even in those without any cardiac disorders.","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10947727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0