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Acute rheumatic fever and Takayasu arteritis - A synchronous co-occurrence. 急性风湿热和高安动脉炎--同步并发症。
Journal of postgraduate medicine Pub Date : 2024-04-17 DOI: 10.4103/jpgm.jpgm_693_23
P. Vaideeswar, G. Sabnis
{"title":"Acute rheumatic fever and Takayasu arteritis - A synchronous co-occurrence.","authors":"P. Vaideeswar, G. Sabnis","doi":"10.4103/jpgm.jpgm_693_23","DOIUrl":"https://doi.org/10.4103/jpgm.jpgm_693_23","url":null,"abstract":"ABSTRACT\u0000Acute rheumatic fever and Takayasu arteritis are examples of autoimmune diseases that commonly affect the cardiovascular system. We report an infrequent co-occurrence of both these diseases in an adolescent male. It may appear that in some individuals, the rheumatic fever may act as a trigger for the development of large vessel vasculitis. This possibility should be considered in patients on follow-up if they develop fresh features of cardiovascular compromise despite appropriate medical, interventional, or surgical therapy for rheumatic heart disease.","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140691764","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
Complete agenesis of dorsal pancreas: A rare cause of insulin-dependent diabetes mellitus. 胰腺背侧完全缺失：胰岛素依赖型糖尿病的罕见病因。
Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2023-12-06 DOI: 10.4103/jpgm.jpgm_377_23
S Ray, K K Behera, T P Tripathy
{"title":"Complete agenesis of dorsal pancreas: A rare cause of insulin-dependent diabetes mellitus.","authors":"S Ray, K K Behera, T P Tripathy","doi":"10.4103/jpgm.jpgm_377_23","DOIUrl":"10.4103/jpgm.jpgm_377_23","url":null,"abstract":"<p><strong>Abstract: </strong>We report a 16-year-old boy who presented with abdominal pain and severe hyperglycemia. His random blood glucose on admission was above 300 mg/dL, without ketosis. Urine examination revealed mild ketonuria. Renal function tests were normal. Antibodies to glutamate acid decarboxylase (anti-GAD) and islet tyrosine phosphatase 2 (anti-IA2) were negative. Findings on enhanced abdominal computed tomography scan were compatible with complete dorsal pancreatic agenesis. The body and tail of the pancreas were not visualized. Additionally, ectopic and malrotated left kidney was detected. Magnetic resonance cholangiopancreatography confirmed the absence of the dorsal pancreatic duct. The patient was treated with multiple subcutaneous insulin injections and attained good glycemic control. He is currently doing well on follow-up. The present case is a rare combination of complete agenesis of the dorsal pancreas with an ectopic, malrotated kidney. Clinical awareness of this rare association will help improve patient management.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815552","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
Status of oral anticoagulant use in a tertiary center in south India. 印度南部某三级医疗中心口服抗凝血剂的使用状况。
Journal of postgraduate medicine Pub Date : 2024-04-01 Epub Date: 2023-11-27 DOI: 10.4103/jpgm.jpgm_569_23
S Gajbhiye
{"title":"Status of oral anticoagulant use in a tertiary center in south India.","authors":"S Gajbhiye","doi":"10.4103/jpgm.jpgm_569_23","DOIUrl":"10.4103/jpgm.jpgm_569_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"69-70"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465260","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
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
{"title":"Recharge the cells to overcome the debilitating symptoms in long-COVID.","authors":"V Sharma","doi":"10.4103/jpgm.jpgm_833_23","DOIUrl":"10.4103/jpgm.jpgm_833_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"73-74"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178382","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
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
{"title":"Clinical implications of embryological variations in middle cerebral artery anatomy.","authors":"D Muzumdar","doi":"10.4103/jpgm.jpgm_757_23","DOIUrl":"10.4103/jpgm.jpgm_757_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"75-76"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320302","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: 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
{"title":"Waiting to exhale: Retrieval of an unusual bronchial foreign body.","authors":"D Franey, Z Frenzel, D Manchester","doi":"10.4103/jpgm.jpgm_456_23","DOIUrl":"10.4103/jpgm.jpgm_456_23","url":null,"abstract":"<p><strong>Abstract: </strong>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.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"116-118"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139041153","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
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
{"title":"Rete middle cerebral artery presenting with a ruptured aneurysm.","authors":"D K Singh, D Shankar, K Yadav, M Kaif","doi":"10.4103/jpgm.jpgm_152_23","DOIUrl":"10.4103/jpgm.jpgm_152_23","url":null,"abstract":"<p><strong>Abstract: </strong>The developmental anomaly of the middle cerebral artery (MCA) is a rare occurrence. Rete MCA, also known as \"unfused,\" \"twig-like,\" and aplastic MCA, is an even rarer anomaly. These immature rete vessels are prone to flow-related aneurysms which rupture themselves presenting with intraparenchymal hematoma. We here with present a case of rete MCA with a ruptured aneurysm and discuss its pathophysiology and management.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147883","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
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
{"title":"Creatine supplementation combined with breathing exercises reduces respiratory discomfort and improves creatine status in patients with long-COVID.","authors":"J Slankamenac, M Ranisavljev, N Todorovic, J Ostojic, V Stajer, S M Ostojic","doi":"10.4103/jpgm.jpgm_650_23","DOIUrl":"10.4103/jpgm.jpgm_650_23","url":null,"abstract":"<p><strong>Abstract: </strong>Eight long-COVID patients with moderate fatigue that had lasted for ≥3 months were recruited. All patients were allocated in a double-blind parallel-group design to receive either 4 g of creatine per day plus breathing exercises (study group) or breathing exercises only (control group) for 3 months. Creatine induced a significant increase in tissue total creatine levels for all 14 locations evaluated in the present study ( P < 0.05), while its levels significantly dropped in the right frontal gray matter and left parietal mesial gray matter at follow-up in the control group ( P < 0.05). No change in time to exhaustion was demonstrated in the control group (P > 0.05), while the mean time to exhaustion was significantly improved for 54 s in the study group post-administration (P = 0.05). These preliminary findings suggest that creatine is as an effective adjuvant therapeutic to breathing exercises for tackling the clinical features in long-COVID.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"101-104"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815553","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
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
{"title":"Glimpses of pheochromocytoma-paraganglioma management through ambulatory blood pressure monitoring window.","authors":"S Kamalanathan","doi":"10.4103/jpgm.jpgm_642_23","DOIUrl":"10.4103/jpgm.jpgm_642_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"71-72"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815556","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
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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"36-42"},"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
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