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Journal of postgraduate medicine最新文献

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An inappropriate therapeutic intervention can delay completion of treatment: Caution required! 不适当的治疗干预会延误治疗的完成：需要谨慎！
Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_410_23
G A Marraro, C Yunfeng
{"title":"An inappropriate therapeutic intervention can delay completion of treatment: Caution required!","authors":"G A Marraro, C Yunfeng","doi":"10.4103/jpgm.jpgm_410_23","DOIUrl":"10.4103/jpgm.jpgm_410_23","url":null,"abstract":"","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/PMC10947730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089722","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
Placental pathology: Cracks in the feto-maternal bridge. 胎盘病理:胎母桥裂缝。
Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_617_23
P Vaideeswar, P A Sathe
{"title":"Placental pathology: Cracks in the feto-maternal bridge.","authors":"P Vaideeswar, P A Sathe","doi":"10.4103/jpgm.jpgm_617_23","DOIUrl":"10.4103/jpgm.jpgm_617_23","url":null,"abstract":"","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/PMC10947736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465259","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
Facial nerve communication with ansa cervicalis - An unusual anatomical variation. 面神经与颈袢的交流——一种不寻常的解剖变异。
Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_454_23
S Gulati, S Tripathy, T Gupta, S Gaba
{"title":"Facial nerve communication with ansa cervicalis - An unusual anatomical variation.","authors":"S Gulati, S Tripathy, T Gupta, S Gaba","doi":"10.4103/jpgm.jpgm_454_23","DOIUrl":"10.4103/jpgm.jpgm_454_23","url":null,"abstract":"<p><p>Neural connections of the seventh cranial nerve with its neighboring nerves are common and well documented; however, communication with ansa cervicalis is as yet unknown. We present a case with such a connection found during cadaveric dissection, with hitherto unknown consequences. In this specimen, after giving the marginal mandibular and cervical branches, the cervicofacial division continued distally to communicate with the distal loop of ansa cervicalis. Presence of such connection may result in facial muscle paralysis on injury to the ansa or strap muscle paralysis on injury to the facial nerve, depending on the direction of nerve fibers. Such unusual connections bring to light the need for extreme care during surgeries in the neck to safeguard any such connections and when using the ansa as donor.</p>","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/PMC10947731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465258","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
The curious case of milk collection under skin graft over the breast: Lessons learned! 乳房皮肤移植下的乳汁收集奇案：经验教训！
Journal of postgraduate medicine Pub Date : 2024-01-01 DOI: 10.4103/jpgm.jpgm_969_22
S Karmakar, P C Kala, A Humnekar
{"title":"The curious case of milk collection under skin graft over the breast: Lessons learned!","authors":"S Karmakar, P C Kala, A Humnekar","doi":"10.4103/jpgm.jpgm_969_22","DOIUrl":"10.4103/jpgm.jpgm_969_22","url":null,"abstract":"<p><p>Raw area on the breast, especially when it is lactating, can lead to complications, including hyperprolactinemia and development of milk fistulae. A 25-year-old female presented with raw area over the left breast after 2 months of childbirth. She had history suggestive of necrotizing disease, which had primarily been managed elsewhere with debridement and dressings. We excised the raw area and applied split thickness skin grafts with minimal meshing. Bulky dressing prevented breastfeeding. On postoperative day 3, there were blebs containing milk underneath the graft. The blebs were drained and oral cabergoline was administered for 3 months. The skin graft healed well. If expression of breast milk is not possible then suppression of lactation should be considered before definitive cover of the raw area of breast.</p>","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/PMC10947732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405756","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
Waiting to exhale 等待呼气
Journal of postgraduate medicine Pub Date : 2023-12-15 DOI: 10.1097/00000637-199807000-00020
D. Franey, Z. Frenzel, D. Manchester
{"title":"Waiting to exhale","authors":"D. Franey, Z. Frenzel, D. Manchester","doi":"10.1097/00000637-199807000-00020","DOIUrl":"https://doi.org/10.1097/00000637-199807000-00020","url":null,"abstract":"\u0000 \u0000 Foreign-body aspiration in adults is considerably less common than in children. The clinical course can be life-threatening but often presents in a more indolent manner, leading to difficulties with diagnosis. We report the retrieval of a buprenorphine-naloxone wrapper by flexible bronchoscopy in a 44-year-old male patient with COVID-19 who was on mechanical ventilation. Following removal, the patient completed treatment for COVID-19, his respiratory status improved, and he was discharged from the hospital. Flexible bronchoscopy is an effective means of diagnosis and retrieval of foreign bodies in the distal airway.\u0000","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000263","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}
引用次数: 0
Surgical care delivery in India during the COVID pandemic. 新冠肺炎疫情期间印度的外科护理服务。
Journal of postgraduate medicine Pub Date : 2023-10-01 DOI: 10.4103/jpgm.jpgm_568_23
D Ghosh, M Thomas
{"title":"Surgical care delivery in India during the COVID pandemic.","authors":"D Ghosh, M Thomas","doi":"10.4103/jpgm.jpgm_568_23","DOIUrl":"10.4103/jpgm.jpgm_568_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158974","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
Chronic thromboembolic pulmonary hypertension - Time is of the essence. 慢性血栓栓塞性肺动脉高压——时间至关重要。
Journal of postgraduate medicine Pub Date : 2023-10-01 DOI: 10.4103/jpgm.jpgm_707_23
V Taskar
{"title":"Chronic thromboembolic pulmonary hypertension - Time is of the essence.","authors":"V Taskar","doi":"10.4103/jpgm.jpgm_707_23","DOIUrl":"10.4103/jpgm.jpgm_707_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242701","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 often are heart diseases correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records. 患有致命疾病的儿童死前多久能正确诊断出心脏病？对医疗和尸检记录的回顾性审查。
Journal of postgraduate medicine Pub Date : 2023-10-01 DOI: 10.4103/jpgm.jpgm_608_23
S Karande, P Vaideeswar, T More
{"title":"How often are heart diseases correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records.","authors":"S Karande, P Vaideeswar, T More","doi":"10.4103/jpgm.jpgm_608_23","DOIUrl":"10.4103/jpgm.jpgm_608_23","url":null,"abstract":"<p><p>This retrospective study analyzed the concordance level between clinical and autopsy diagnosis of heart diseases over six years. Utilizing the Goldmann classification, the concordance rate was found to be 38.1%. Major discrepancies (Class I and II) were found in 39% cases and minor (Class III and IV) in 22.9% cases.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175714","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
Pharmacovigilance of biosimilars - Why is it different from generics and innovator biologics? 生物仿制药的药物警戒-为什么它与仿制药和创新生物制品不同？
Journal of postgraduate medicine Pub Date : 2019-10-01 DOI: 10.4103/jpgm.JPGM_109_19
B Oza, S Radhakrishna, P Pipalava, V Jose
{"title":"Pharmacovigilance of biosimilars - Why is it different from generics and innovator biologics?","authors":"B Oza,&nbsp;S Radhakrishna,&nbsp;P Pipalava,&nbsp;V Jose","doi":"10.4103/jpgm.JPGM_109_19","DOIUrl":"https://doi.org/10.4103/jpgm.JPGM_109_19","url":null,"abstract":"<p><p>Biosimilars are being marketed in India since 2000. Like biologics, biosimilars have a large size, complex structure, and complicated manufacturing process, and they are produced in a living organism. It requires specialized delivery devices for administration and needs tighter temperature control to prevent degradation. As biosimilar development follows abbreviated pathway, adverse events (AEs) previously unknown during a clinical trial may be detected postmarketing. In India, the awareness on pharmacovigilance has increased significantly after implementation of the pharmacovigilance guidance in January 2018. However, biologics require tighter monitoring to ensure their safety and efficacy. This review article discusses the importance of pharmacovigilance for biosimilars, how it is different from generics, and provides recommendations to sensitize clinicians and researchers about the requirement of a different approach to improve pharmacovigilance for biosimilars. Pharmacovigilance for biosimilars is as important as it is for innovator biologics and more important than that for generics.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224165","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: 5
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