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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
{"title":"How appropriate are referral letters written by school principals to a learning disability clinic? A retrospective audit.","authors":"S Karande, D Rajiv","doi":"10.4103/jpgm.jpgm_932_23","DOIUrl":"10.4103/jpgm.jpgm_932_23","url":null,"abstract":"<p><p>This retrospective study analyzed the quality of 1069 referral letters written by school principals to our learning disability clinic. Utilizing a self-devised checklist having four domains (with 26 items), the audit revealed that in only nine (34.6%) items, the necessary information was available in >90% of referral letters.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"43-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10947739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089723","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
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
{"title":"To restrict or not to restrict - Understanding the conundrum of dietary protein restriction in chronic kidney disease.","authors":"T Jamale, S Bose","doi":"10.4103/jpgm.jpgm_862_23","DOIUrl":"10.4103/jpgm.jpgm_862_23","url":null,"abstract":"","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10947740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514453","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
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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>This study was aimed at ascertaining the etiopathogenesis of mural thrombi with a clinicopathologic correlation.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Ventricular thrombi should be ruled out in patients with evidence of systemic and/or pulmonary thromboembolism, even in those without any cardiac disorders.</p>","PeriodicalId":94105,"journal":{"name":"Journal of postgraduate medicine","volume":" ","pages":"29-35"},"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
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":" ","pages":"7-8"},"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
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":" ","pages":"11-12"},"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
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":" ","pages":"60-63"},"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":" ","pages":"53-55"},"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":"59 2","pages":""},"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":" ","pages":"190-191"},"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":" ","pages":"187-189"},"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
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