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Table of Contents
Year : 2019  |  Volume : 16  |  Issue : 4  |  Page : 207


Editor in Chief, Department of Paediatrics, Indraprastha Apollo Hospitals, New Delhi, India

Date of Submission15-Nov-2019
Date of Acceptance15-Nov-2019
Date of Web Publication12-Dec-2019

Correspondence Address:
Rajendra N Srivastava
Department of Paediatrics, Indraprastha Apollo Hospitals, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/am.am_71_19

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How to cite this article:
Srivastava RN. Editorial. Apollo Med 2019;16:207

How to cite this URL:
Srivastava RN. Editorial. Apollo Med [serial online] 2019 [cited 2022 Dec 7];16:207. Available from: https://apollomedicine.org/text.asp?2019/16/4/207/272833

The last issue of the Journal for the 2019 has three original articles. Ravikanth and Majumdar presented their observations on magnetic resonance imaging studies in 200 patients with shoulder injuries and shoulder pain. They discussed the classification of rotator cuff injuries. Partial or complete tears of supraspinatus tendon and subacromial impingement were found to be the most frequent causes of shoulder pain. Kumar et al. examined the contributing factors causing delirium in critically ill, nonintubated patients in intensive care unit. The severity of the underlying condition and previous hospital admissions were identified as being associated with delirium. Mohanraj et al. investigated the prevalence of hypertension and its associated risk factors in a suburban community in South India. A high prevalence of 47% was detected, which was similar in both genders. Diabetes and atherosclerosis were found to be significant associations. The authors stress on the need for institution of appropriate screening protocols for hypertension.

The review articles include a discussion of the poorly understood, but troublesome condition of laryngopharyngeal reflux (LPR) by Swain and Pradhan. The disorder is distinct from gastroesophageal reflux disease. LPR has an adverse impact on the quality of voice and performance, which is of particular relevance in professional singers. Pandey et al. have reviewed the influence of obesity on the disease activity and various health outcome measures in patients with ankylosing spondylitis. Obesity may be a contributory factor for poor response to agents such as infliximab and adalimumab in the treatment of this serious arthropathy.

Jegatheeeswaran et al. have examined the factors that impede the implementation of a screening program for breast cancer in India. They emphasized the importance of the lack of awareness, social stigma attached to the diagnosis of cancer, and shortage of doctors in rural and remote communities as being important. A holistic approach with focus on education and information is vital to achieve successful implementation of the screening program.

Renjen et al. have reviewed cerebral cortical venous thrombosis, which is an uncommon cause of stroke. They briefly reported two cases that illustrate the variable clinical features of such abnormalities.

Several instructive case reports are included. Ravikanth and Majumdar observed a patient with primary amenorrhea with underlying renal agenesis and rectal ectopia. This constellation of anomalies, termed MURCS association, is a rare occurrence. Rissardo et al. reported a patient with bilateral striopallidodentate calcinosis (Fahr's disease) where the presenting feature was pure dementia. Renjen reported a patient with metastatic pulmonary adenocarcinoma on regular therapy, who developed an acute illness that mimicked herpetic encephalitis; it was diagnosed to be paraneoplastic limbic encephalitis. Agrawal reported a patient with severe head injury who showed features of periconcussional penumbra. The management of such cases is discussed.

Nagashree described successful management of a 32-year-old parous woman with third-degree uterine prolapsed that was treated with laparoscopic sacrohysteropexy. Dahiya et al. observed occurrence of hallucinations in an 83-year-old patient, which appeared to be caused by excessive intake of deriphyllin (a combination of etophylline and theophylline). Such medications need to be used with caution in elderly subjects.

Shrivastava has written to comment on the serious problem of gender-based violence, which is recognized as a major public health concern. He has emphasized the need for a strategic and holistic approach to tackle such abuses.

We hope that the contents will be of use and help to our readers.


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